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INDIAN POLITICIAN APPLICATION
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. 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 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 Recognized 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- 100-500 Crores B-500-1000Crores 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. Describe your achievements in space provided: [_________]
Issued in public interest by Election Commission of India.