Indian Election Application Form



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. Nationality: [ ]

A - Italian

B - Indian



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

A - Defected

B - Expelled

C - Bought out

D - None of above

E - All of the above



6. 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 Recogonised Government Psychiatrist)



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

A - 1-2 yrs

B - 2-6yrs

C - 6-15yrs

D - 15+yrs



8. Give details of any criminal cases pending against you (Use as many Additional Sheets as you want)



9. 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



10. 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



11. What is your Annual Corruption Income? [ ]

A - 10-50 Crores

B - 50-100 Crores

C - Overflow...

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



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

A - No

B - No

C - No

D - No



13. How many people have you killed or murdered ?[ ]

A - 50

B - 100

C - 1000

D - Lost count



14. Describe your achievements in space provided: [___]

Thumb Impresssion of candidate

(Not that of the person who filled the form)




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