20130625

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 5 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. No of years of public service experience do you possess?
 A- 1-2 yrs
 B- 2-6yrs
 C- 6-15yrs
 D- 15+yrs

9. List the criminal cases pending against you (Use as many
 Additional Sheets as you want)

10. How many years have you spent in Jail? [ ]
 (Don’t 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 Crore
 B- 500-1000 Crore
 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:
 [_________]

Issued in public interest by Election Commission of India