Indian Election: Application Form

1 Name of Candidate: 
2 Name of Jail :
3 Cell Number : 
(If not in Jail, attach proof of illegally occupied residence) 
4 Political Party :
(List ONLY the Last Five parties in the Chronological Order)
5 Sex : 
6 Nationality :

(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) 

7 Reasons for leaving last party
(Tik one or more) 
Defected 
Expelled 
Bought out 
None of above 
All of above 
8



 Reasons for contesting elections
(Tik one or more) 
To make money 
To escape court trial 
To grossly misuse power 
To serve the public 
I have no clue 

(if you choose "D,- attach Certificate of Sanity from a Recogonised Government Psychiatrist) 
9 How many years of public service experience do you possess ?
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 9) 
11 Are you involved in any financial scams ?
12 What is your Annual Corruption Income ? Crores 
(Convert all your $ earning from Hawala etc to Rupees) 
13 Do you have any developmental plans for the country in mind?
No
No
No
No
14 Describe in space provided, your achievements : 
  

Thumb Impresssion of Candidate 
Mera ________ Mahan