Application Form For 'Lok Sabha Election :-)

Application Form For 'Lok Sabha Election' 

1. Name of Candidate: ____________ _________

2.Present Address:

(i.)Name of Jail: ____________ _________

(ii.)Cell Number: ____________ _________

3.Political Party: ____________ _________

*List ONLY the Last Five parties in Chronological (Order)

4.Sex: [ ]

A- Male

B- Female

C- Mayawati

D- Uma Bharathi

5.Nationality: [ ]

A- Italian

B- Indian

6.Reasons for leaving last party (circle one or more)

A- Defected

B- Expelled

C- Bought out

D- None of above

E- All of above

7.Reasons for contesting elections (circle one or more)

A- To make money

B- To escape court trial

C- To grossly misuse power

D- To serve the public

E- I have no clue

(If you choose D, attach Certificate of Sanity from a

Recognized Government Psychiatrist)

8.How many years of public service experience do you possess?

A- 1-2 yrs

B- 2-6yrs

C- 6-15yrs

D- 15+yrs

9.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 

A- 1-2 years

B- 2-6 years

C- 6-15 years

D- 15+years

11.Are you involved in any financial scams? [ ]

A- Why not

B- Of Course

C- Definitely

D- I deny it all

E- I see a foreign hand.

12. What is your Annual Corruption Income? [ ]

A- 100-500 Crores

B- 500-1000 Crores

C- Overflow

(Convert all your $ earning from Hawala etc to Rupees)

13. Do you have any developmental plans for India in mind? [ ]

A- No

B- No

C- No

D- No

14.Describe your achievements in space provided:

[_________]