MP Application Form (Forward)

*********************************************************************
*******

Application Form To Be Filled For Contesting Indian
Elections

-------------------------------------------------------

1. Name of Candidate :
_______________________

2. Present Address

(i) Name of Jail :
_______________________

(ii) Cell Number :
_______________________

(If not in Jail, attach proof of illegally
occupied
residence)

3. Political Party :
_______________________
(List ONLY the Last Five parties in the Chronological

Order)

4. Sex : [ ]

A - Male

B - Female

C - Mayawathi

5. Nationality : [ ]

A - Italian

B - Indian

(if Indian attach attested copy of ration card, police
certificate, passport, birth-certificate, electricity
bill, phone bill and local goondas NOC. If Non-indian
just Check box A)


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 Recogonised 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 - 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)

14.Do you have any developmental plans
for the country in mind?
[ ]

A - No

B - No

C - No

D - No

15. Describe in space provided, your
achievements :

_______________


Thumb Impresssion of
candidate

*********************************************************************