Application Form For The "Upcoming Parliament Election"

(Application Form to Be Filled For Contesting Upcoming Parliament Election)




1.Name of Candidate: _____________________


2.Present Address:
(i.)Name of Jail: _____________________
(ii.)Cell Number: _____________________


3.Political Party: _____________________
*List ONLY the Last Five parties in Chronological (Order)


5.Nationality: [ ]
A- Sri Lankan
B- American


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
E- I have no clue
(If you choose "D", attach Certificate of Sanity from a Recognized Government Psychiatrist)


8.How many years of public service experience do you possess?
A- 1-2 yrs
B- 2-6yrs
C- 6-15yrs
D- 15+yrs


9.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
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 Crores
B- 500-1000 Crores
C- Overflow...
(Convert all your $ earning from Rupees)


13. Do you have any developmental plans for Sri Lanka in mind? [ ]
A- No
B- No
C- No
D- No


14.Describe your achievements in space provided:
[_________]


Issued in public interest by Election Commission Sri Lanka.