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Narad Muni
17th February 2006, 06:51 PM
STATE of BIHAR DRIVING LICENSE APPLIKASON PHAROM
************************************************** *************************

NOTE : If you dont know the answers, please copy from another applikason
phorom and submit. For further instructions, see bottom applikason. Please
do not shoot the person at the applikason kounter. He will give you the
license amd license fee 500 Rs immediately. Please dont ask for more . Every
applicant is entitled to a sum of Rs 500 only.

1- Last name (Yadav/Sinha/Pandey/Mishra/don't know)

2-Phust name:
(_) Ramprasad
(_) LakhanPal
(_) LalooPrasad
(_) Jamnaprasad
(_) Dont know
(Check appropriate box)

3-Age:
(_) Less than zhero
(_) Zhero
(_) Greater than zhero
(_) Don't know
(Please tick only one of them)

4-Sex:
____ M _____ F _____ not sure _____ not applicable ____ ALL of the above
(Please tick only one of them)
(DO NOT fill name of the days of the week in the blanks)

5- Chappal Size:____ Left ____ Right
(People with only one leg can leave one option blank)

6- Occupassan :
(_) Politician
(_) Doodhwala
(_) Pehelwaan
(_) House wife
(_) All of the above

7- Bhife Name: __________________________
__________________________ (in case of more than one)
__________________________
__________________________
(if u dont know then leave it as it is )

8- Relationship with Bhife :
(Please tick only one of them)
(_) Sister
(_) Brother
(_) Aunt
(_) Uncle
(_) Cousin
(_) Mother
(_) Father
(_) Son
(_) Daughter
(_) Pet

9- Do u own a vehicle
(_) Yes (_) No (_) Don't know
(for driving a bullockcart ,tonga, Cycle and Rickshaw license is not needed)


10- Vehicle number ______
(In case u dont know what is vehicle number just take the photograph of the
white plate attached in front of your vehicle and attach with this pharom)

11- Number of children living in household:
___ , ___ Don't remember

12- Number that are yours: ___

13- Mother's Name: _______________________

14- Sex :
____ M _____ F _____ not sure _____ not applicable ____ ALL of the above
(Please tick only one of them)

15- Phather's Name: _______________________

16- Sex:
____ M _____ F _____ not sure _____ not applicable ____ ALL of the above (Please tick only one of them)
(Mother and Phather should be married)

17- Heducasson : 1 2 3 4 5 (Circle highest grade completed)

18- Number of years spent in each grade (1) __ (2)__ (3) __ (4) __ (5)__

19- Model and year of your pickup: _____________ 194_

20- Do you consume alcohol : (_) Yes

21- What is your daily consumption of alocohol
(_)1
(_)2
(_)3
(_)4
(_)Dont know

22- Unit of consumption:
(_) Jug, (_)thaili , (_)bottle ,(_) Gallon

23- Newspapers/magazines you subscribe to:
(_) Champak
(_) Indrajal
(_)
(_) The great Bihar Dairy
(_) Blank sheets

24- ___ Number of times you've SHOT a UFO
25- ___ Number of times you've SHOT yourself.

26- Do you bathe?
(_) Yes
(_) No
(_) Not applicable

27- Do u bathe with water __ Yes __ No __ Don't Know
If yes, how often do you bathe?
(_) Weekly
(_) Monthly
(_) Quarterly
(_) Yearly

28- Color of teeth:
(_) Yellow
(_) Brownish-Yellow
(_) Brown
(_) Black
(_) Others - Give exact color
(_) Not applicable
29 -How far is your home from a paved road?
(_)5 mile (_)10 miles (_)don't know

__________________________________________________ __________________________
_____
Your thumb impresson here
(If you are copying from another applikason pharom, please do not copy thumb
impression also. Please
provide your own thumb impression.)
PLEASE DO NOT USE THUMB OF YOUR LEGS.
Use thumb on your left hand only. If you dont have left hand, use your thumb
on right hand. If you do not have right hand, use thumb on left hand.
NOTE : IF YOU DONT HAVE BOTH HANDS, YOU CANNOT DRIVE.)
For instructions to fill this applikason pharom, see beginning of applikason
phorom.
Ishmile and have a Nice Day every day
:lol: