| Shiva Shiva!! |
Posted
on 04-Jun-03 11:51 AM
STATE OF BIHAR DRIVING LICENSE APPLIKASON PHAROM
PLIS NOTE: Ipf you do not know the answers, plis
copy from another applikason phorom and submit. Phor
further instrucsons, see bottom applikason.
Plis do not shoot the person at the applikason
kounter. He will give you the lisence immidately.
Last name:
(_) Yadav
(_) Sinha
(_) Pandey
(_) Mishra
(_) do not know
First name:
(_) ramprasad
(_) Lakhan
(_) Sivaprasad
(_) Jamnaprasad
(_) Do not know
(Check appropiate boxva)
Age:
(_) Less than zero
(_) Zero
(_) Greater than zero
(_) Do not 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 house: ___
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
Colorva of teeth:
(_) Yellow
(_) Brownish-Yellow
(_) Brown
(_) Black
(_) Others - Give egjact colorva (call nearest
Asian Paints dealer if you do not know the colorva of your teeth)
How far is your home from a paved road?
(_)1 mile (_)2 miles (_)do not know____________________
Your thumb imparesson
(If you are copying from another applikason pharom, please do not copy thumb
imparesson also. Please provide your own thumb imparesson.)
PLEASE DO NOT USE FINGERS OF YOUR LEGS.
Use thumb on your left hand only. If you do nIt have
left hand, use your
thumb on right hand. If you do not have right hand,
use thumb on left hand.
NOTE : IF YOU DO NOT HAVE BOTH HANDS, YOU CANNOT DRIVE
THANKU.........
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