Basic Details
Name *
Email ID
Age *
Choose Age
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
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81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Educational qualifications *
Select Your Educational qualifications
Below 10th Standard
10th Standard
12th Standard
Graduate
Post Graduate
Occupation *
Choose Your Occupation
What is your occupation from the following?
Choose Your Occupation
Shopkeeper
Contractor
Farmer
Business
Other
Which category do you belong to? *
Choose Category
State *
Select State
District
Select District
Assembly Constituency
Select Assembly Constituency
Block
Select Block
Name of your Gram Panchayat?
Select Gram Panchayat
City Name
Are you currently associated with any party?
Choose Party
Are you a party post holder?
Select Your Position
District President
District Vice President
District Secretary
District General Secretary
Block President
Block Vice President
Block Secretary
Block General Secretary
Frontal District President
Frontal District Vice President
Frontal District Secretary
Media Cell
Booth Worker
Party Worker
Party Supporter
Other
Are you or any of your family member interested in contesting elections in the future?
Not Interested
Self
Father
Brother
Mother
Sister
Spouse
Which election do you want to contest?
Student Elections
Gram Panchayat
Panchayat Samiti / Janpad Panchayat
Zila Parishad
Urban Local body
Vidhan Sabha
Lok Sabha
Which post do you want to contest for?
Student Union President
Vice President
Secretary
General Secretary
Treasurer
College President
Does your domicile belong to the same state in which you study?
Yes
No
Which state do you study in?
Select State
Name of your University?
Name of your college?
Which city is your college in?
Which year are you studying in?
What was your grade/percentage in the previous year?
Are you associated with any student union?
ABVP
NSUI
AISA
SFI
AISF
Other Student Unions
Are you a post holder?
President
Vice President
General Secretary
Secretary
College Representative
Member
Other
Select Post
Mukhiya
Sarpanch
Panch
Ward Member
Select Post
Parshad/Member/Ward Member
President/Chairman
Select Post
Parshad/Zila Parishad Member
Chairman/Zila Parishad President
Select Post
Parshad/Corporator/Ward Member
Mayor/Chairman/President
Does your domicile belong to the same state from which you want to contest elections?
Yes
No
Have you or any member of your family contested elections in the past?
Yes
No
Which family member contested elections?
Self
Mother/Father
Grandfather/Grandmother
Maternal Grandfather/Grandmother
Brother/Sister
Other
For which post was the election contested?
Sarpanch
Janpad Parishad
Parshad
Zila Parishad
Student union election
Nagar Nigam
Member of Legislative Assembly
Member of Parliament
Other
What was the result of the election?
Loss
Win
