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
Sex: ____ M _____ F _____ not sure
Shoe Size: ____ Left ____ Right
Occupation:
(_) Farmer
(_) Mechanic
(_) Pehelwan
(_) House wife
(_) Un-employed
Spouse's Name:__________________________
Number of children living in household: ___
Number that are yours: ___
Education: 1 2 3 4 (Circle highest grade 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
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
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. It's for Office use only