Application Form For Lok Sabha Elections.

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.