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| Application
Form for Politicians Application Form To Be Filled For Contesting Sri Lankan Elections |
If you wish to apply please fill the attached and send on or before 1st December 2001 1. Name of Candidate (As in birth certificate currently being used): _______________________ Alias of Candidate (As known to local police and/or underworld):_______________________ 2. Present Address (i) Name of Jail : _______________________ (ii) Cell Number : _______________________ 3. Political Party : _______________________ (List ONLY the Last Five parties in the Chronological (Order) 4. Sex: [ ] A - Male B - Female C - Chandrika D - Ranil/Mangala 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 - Rs. 10 million to 50 million B - Rs. 50 million to 100 million C - Overflow... 12. Do you have any developmental plans for Sri lanaka in mind? [ ] A - No B - No C - No D - No 13. Describe your achievements in space provided: [_________] _______________ Thumb Impression of candidate (Not that of the person who filled the form) Contributed by Ranil Bibile |