If You Want to be a PM, Fill this Applicationg Form!

Application Form To Be Filled For Contesting Indian PM Elections

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1. Name of Candidate: _______________________

2. Present Address

i) Name of Jail: _______________________

ii) Cell Number: _______________________

(If not in Jail, attach proof of residence)

3. Political Party: _______________________

(List ONLY the Last Five parties in the Chronological Order)

4. Sex : [ ]

A - Male

B - Female

5. Nationality : [ ] A – Italian, B - Indian, C - Bihari

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 days

B - 2-6 days

C - 6-15 days

D - 15+ days

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 @ INR 45 to $)

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

A - No

B - No

C - No

D - No

14. Describe in space provided, your achievements : _________________

Thumb Impression of candidate

(Not that of the person who filled the form)