Monday, December 28, 2009

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 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: 
[_________] 

Issued in public interest by Election Commission of India.

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