PUNJAB DRIVERS LICENSE APPLICATION

STATE of PUNJAB DRIVING LICENSE APPLICATION FORM

Last name: (Check appropriate box)
(_) Kaur
(_) Singh
(_) do not know

First name: (Check appropriate box)
(_) Balwinder
(_) Jaswinder
(_) Surinder
(_) Joginder
(_) Maninder
(_) Dont know

Age: ____

Sex: ____ M _____ F _____ not sure

Shoe Size: ____ Left ____ Right

Occupation:
(_) Farmer
(_) Mechanic
(_) Pehelwan
(_) 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 highestgrade completed)

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 seen a UFO ___

Number of times you've seen another person exactly like you ___

Number of times you've seen yourself in a UFO

How often do you bathe:
(_)Weekly
(_)Monthly
(_)Not Applicable

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

Do You know driving:
Yes
No
Not Sure

Do U drive:
Right Handed
Left Handed
Hath chod ke

Do not write anything in the above form.Its for Office use only