Driving License applikason pharom

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
(Check appropriate box)

Age:
(_) Less than zero
(_) Zero
(_) Greater than zero
(_) Don\'t know
(Check appropriate box)

Sex: ____ M _____ F _____ not sure _____not applicable

Chappal Size: ____ Left ____ Right

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

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
(Check appropriate box)

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 (Check appropriate box)

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

madhu