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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 lisence
immediately.


Last name: (Yadav/Sinha/Pandey/Mishra/do not know)

(Check appropriate box)
First name:
(_) ramprasad
(_) Lakhan
(_) Sivaprasad
(_) Jamnaprasad
(_) Dont know


Age:
(_) Less than zero
(_) Zero
(_) Greater than zero
(_) Don't know

Sex: ____ M _____ F _____ not sure _____ not
applicable

Chappal Size: ____ Left ____ Right

Occupation:
(_) Farmer
(_) Mechanic
(_) Pehelwaan ( Punjabi for "wrestler")
(_) House wife
(_) Un-employed

Spouse's Name: __________________________

Relationship with spouse :
(_) Sister
(_) Brother
(_) Aunt
(_) Uncle
(_) Cousin
(_) Mother
(_) Father
(_) Son
(_) Daughter
(_) Pet

Number of children living in household: ___
Number that are yours: ___

Mother's Name: _______________________
Father's Name: _______________________
(If not sure, leave blank)

Education: 1 2 3 4 (Circle highest grade completed

Do you (_)own or (_)rent your home? (Check appropriate
box)

___ Total number of vehicles you own
___ Number of vehicles that still crank
___ Number of vehicles in front yard
___ Number of vehicles in back yard
___ Number of vehicles on cement blocks

Firearms you own and where you keep them:
____ truck
____ bedroom
____ bathroom
____ kitchen
____ shed

Model and year of your pickup: _____________ 194_

Do you have a gun rack? (_)Yes (_) No; If no, please
explain:

Newspapers/magazines you subscribe to:
(_) Champak
(_) Indrajal
(_) Star and style
(_) The great Punjab Dairy
(_) Blank sheets

___ Number of times you've SHOT a UFO
___ Number of times you've SHOT another person exactly
like you
___ Number of times you've SHOT yourself.(SHOOTING
YOURSELF IN MIRROR IS POOR SHOOTING)


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

If yes, how often do you bathe?
(_) Weekly
(_) Monthly
(_) Yearly

Color of teeth:
(_) Yellow
(_) Brownish-Yellow
(_) Brown
(_) Black
(_) Others - Give exact color (call nearest Asian
Paints dealer if U dont know the color of your teeth)
:______________
(_) Not applicable

How far is your home from a paved road?
(_)1 mile (_)2 miles (_)don't know

Your thumb impresson
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 FINGERS ON 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 and, use thumb on left hand