State of Mississippi Drivers License Application Last name: _________________________ First name: (_) Billy-Bob (_) Billy-Joe (_) Billy-Ray (_) Billy-Sue (_) Billy-Mae (_) Billy-Jack (Check appropriate box) Age: ____ (if unsure, guess) Sex: ____ M _____ F _____ Not sure Shoe Size: ____ Left ____ Right Occupation: (_) Farmer (_) Mechanic (_) Hair Dresser (_) Un-employed (_) Dirty Politician Spouse's Name: ______________________________ 2nd Spouse's Name: __________________________ 3rd Spouse's Name: __________________________ Lover's Name: _______________________________ 2nd Lover's Name: ___________________________ Relationship with spouse: (_) Sister (_) Brother (_) Aunt (_) Uncle (_) Cousin (_) Mother (_) Father (_) Son (_) Daughter (_) Pet Number of children living in household: ___ Number of children living in shed: ___ Number that are yours: ___ Mother's Name: _______________________ Father's Name: _______________________ (If not sure, leave blank) Education: 1 2 3 4 (Circle highest grade completed) Do you (_)own or (_)rent your mobile home? (Check appropriate box) ___ 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: 196_____ Do you have a gun rack? (_) Yes (_) No; If no, please explain: ________________________________________ _______________________________________________________________ Newspapers/magazines you subscribe to: (_) The National Enquirer (_) The Globe (_) TV Guide (_) Soap Opera Digest (_) Rifle and Shotgun ___ Number of times you've seen a UFO ___ Number of times you've seen Elvis ___ Number of times you've seen Elvis in a UFO How often do you bathe: (_)Weekly (_)Monthly (_)Not Applicable Color of teeth: (_)Yellow (_)Brownish-Yellow (_)Brown (_)Black (_)N/A Brand of chewing tobacco you prefer: (_)Red-Man How far is your home from a paved road? (_)1 mile (_)2 miles (_)what's a paved road? ---------- Submitted by: Naeem Ahmed Nothing but Jokes by Nauman Faridi