APPLIKASON PHARM

With due apologies to Laloo Prasad, here is the form from Bihar

Plis feel it apropreeatli....

STATE of BIHAR DRIVING LICENSE APPLIKASON PHARM
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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 

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

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

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

Chappal Size: ____ Left ____ Right

Occupation: (_) Politician (_) Doodhwala (_) Pehelwaan (_) House wife(_) Un-employed

Number of children living in household: ___

Number that are yours: ___

Mother's Name: _______________________

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

Ejjucason: 1 2 3 4 (Circle highest grade completed) 

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)

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

_______________________Your thumb imparesson *


* 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 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