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Indian Election: Application Form
1. Name of Candidate: _______________________
2. Present Address
i. Name of Jail: _______________________
ii. Cell Number: ________________________
(If not in Jail, attach proof of illegally occupied residence)
3. Political Party: _______________________
(List ONLY the Last Five parties in the Chronological Order)
4. Sex : [ ] A. Male B. Female C. Mayawati
5. Nationality : [ ] A. Italian B. Indian
(if Indian attach attested copy of ration card, police certificate, passport, birth-certificate, electricity bill, phone bill and local goonda's NOC. If Non-Indian just Check box A)
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 Recognised 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 8)
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. 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 the country in mind? [ ]
A. No B. No C. No D. No
14. Describe in space provided, your achievements : __
(Do not use any additional sheets)
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