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A LITTLE LAUGHTER FOR INDIANS..WITH APOLOGIES TO BIHARIS

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Again,a.write.up.I.picked.from.the.NHS.Doctors'.Forum!!

Sadhana'85

A LITTLE LAUGHTER FOR INDIANS..WITH APOLOGIES TO BIHARIS akmn) 02/02/2004

DRIBING LICENS APPLIKASON PHORAM

If you dont knows,pelease copy from anadher applikason phoram.For phurther

instructions,see bottam applikason phoram.Please do not soot the person at

applikason kounter.He will give you the licen.

PELEASE TICKING BELOW:

( )Yadhav

( )Sinha

( )Pandey

( )Misra

( )Dont no

(Check karect box)

PHIRST MAME

( ) Ramprasad

( )Lakhan

( )Sivprasad

( )Jamnaprasad

( )Dont no

(Check karect box)

AGE

( )Less than phipty

( )Greater than phipty

( )Dont no

(Check karect box)

SEX---(M)---(F)---(Not sure)----(Not applicable)

CHAPPAL SIZE----(LEPHT)----(RIGHT)

OCCUPASON

( )Politison

( )Dhoodwala

( )Pehelwan

( )House wife

( )Un-employed

(Check karect box)

No of children libing in household(---)

No. that are yours(---)

Mothers name---------------

Phathers name--------------(If not no,leave blank)

Ejjucasion 1 2 3 4 5 6 (Circle highest attended)

DENTAL REKARD

( ) Ellow

( )Berowinish ellow

( )Berown

( )Belack

( )Other--give egjhakt color

YOUR THUMB IMPRESSION( If copying from another applikason form pelease dont copy

thumb impression also.Pelease provide your own thumb impression)

PELEASE DO NOT USE FINGERS OF YOUR LEGS.Use thumb of lepht hand only.If not

having lepht hand use thumb of right hand. If not having right hand use thumb of

lepht hand.

NOTE: If not having both hands you cannot drive.WE ARE VERY ISTRICT ABOUT THIS.

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