3. Political Party:_____________________

List ONLY the last 5 parties in Chronological (Order)

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 (You May 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- If Not, 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:

15. Education: NOT REQUIRED