5.Nationality: [ ]A- ItalianB- Indian6.Reasons for leaving last party (circle one or more)A- DefectedB- ExpelledC- Bought outD- None of aboveE- All of above7.Reasons for contesting elections (circle one or more)A- To make moneyB- To escape court trialC- To grossly misuse powerD- To serve the publicE- I have no clue(If you choose "D", attach Certificate of Sanity from a RecognizedGovernment Psychiatrist)8.How many years of public service experience do you possess?A- 1-2 yrsB- 2-6yrsC- 6-15yrsD- 15+yrs9.Give details of any criminal cases pending against you (Use asmanyAdditional Sheets as you want)10.How many years have you spent in Jail? [ ](Donot confuse with question 8)A- 1-2 yearsB- 2-6 yearsC- 6-15 yearsD- 15+years
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