Application for driving license in Punjabi Home
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 imediately.

Last name: (Kaur/Singh/do not know)

First name:
(_) Balwinder
(_) Jaswinder
(_) Surinder
(_) Joginder
(_) Maninder
(_) 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:
(_) 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 mobile 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
(_) Not Applicable

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 hand, use thumb on left hand.

NOTE : (IF YOU DONT HAVE BOTH HANDS, YOU CANNOT DRIVE.)
For instructions to fill this applikason pharom, see beginning of applikason phorom.
Contributed by : Sukhwant Singh Bedi Back to List