Application form for politicians
Application Form To Be Filled For Contesting Indian Elections
---------------------------------------------------------------------- 1. Name of Candidate: _______________________ 2. Present Address (i) Name of Jail: _______________________ (ii) Cell Number: _______________________ 3. Political Party: _______________________ (List ONLY the Last Five parties in the Chronological (Order) 4. Gender: [ ] A - Male B - Female C - Mayawati 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 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 - 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: [_________] Thumb Impression of candidate (Not that of the person who filled the form)
