Application Form For "Lok Sabha Election"
2.Present Address:(i.)Name of Jail: _____________________(ii.)Cell Number: _____________________3.Political Party: _____________________
4.Sex: [ ] A- MaleB- FemaleC- MayawatiD- Uma Bharathi5.Nationality: [ ]A- ItalianB- Indian6.Reasons for leaving last party (circle one or more) A- DefectedB- ExpelledC- Bought outD- None of aboveE- All of above7.Reasons for contesting elections (circle one or more)A- To make moneyB- To escape court trial C- To grossly misuse power D- To serve the publicE- I have no clue(If you choose "D, attach Certificate of Sanity from aRecognized Government Psychiatrist)8.How many years of public service experience do you possess? A- 1-2 yrsB- 2-6yrsC- 6-15yrsD- 15+yrs9.Give details of any criminal cases pending against you (Use as many Additional Sheets as you want)10.How many years have you spent in Jail? [ ] (Do not confuse with question 8) A- 1-2 yearsB- 2-6 yearsC- 6-15 yearsD- 15+years11.Are you involved in any financial scams? [ ]A- Why notB- Of Course C- DefinitelyD- I deny it allE- I see a foreign hand.12. What is your Annual Corruption Income? [ ]A- 100-500 CroresB- 500-1000 CroresC- Overflow... (Convert all your $ earning from Hawala etc to Rupees)13. Do you have any developmental plans for India in mind? [ ] A- No B- NoC- NoD- No14.Describe your achievements in space provided:[_________]Issued in public interest by Election Commission of India.