Application Form for "JOKE Sabha Election"
	                                                                                    
                
	                                                                                     Application Form for "JOKE Sabha Election"
	
	
	
	1. Name of Candidate:_____________________
	2. Present Address:
	(i.)Name of Jail:_____________________
	(ii.)Cell Number:_____________________
	
	3. Political Party:_____________________
	*List ONLY the last 5 parties in Chronological (Order)
	
	
	4.Sex: [ ]
	A- Male
	B- Female
	C- Maya..
	D- Uma B...
	
	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/& Girls
	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 (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- 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 Left Thumb Impression or signature whichever is known to you:
	
	  May  be  it is needed  toIssue  in public interest by The Election Commission of India..?


 
	 
	