STATE OF GEORGIA DRIVERS LICENCE APPLICATION
Last name: ________________
(Check appropriate box)
First name: First name:_ Billy-Bob _ Bobby-Sue
_ Billy-Joe _ Bobby-Jo
_ Billy-Ray _ Bobby-Rae
_ Bubba _ Junior
Age: ____ (if unsure, guess)
Sex: ____ M _____ F _____ Not sure
Shoe Size: ____ Left ____ Right
Occupation:
_ Sanitation _ Carnival Worker_ Taxidermist_
_ Un-employed _ Worm Farmer
Spouse's Name: __________________________
2nd Spouse's Name: __________________________
3rd Spouse's Name: __________________________
Lover's Name: __________________________
2nd Lover's Name: __________________________
Relationship with spouse:
_ Sister _ Aunt _ Brother
_ Uncle _ Mother _ Son
_ Father _ Daughter _ Cousin
_ 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 ____ kitchen
____ bedroom ____ bathroom
____ shed
Model and year of your pickup: _____________ 19__
Do you have a gun rack?
_ Yes _ No; If no, please explain why not: ________
Newspapers/magazines you subscribe to:
_ Learn to read in your spare time _ Comic Digest
_ Today's Taxidermy _ 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
How many? __
Brand of chewing tobacco you prefer: _ Red-Man
How far is your home from a paved road?
_ 1 mile
_ 2 miles
_ don't know
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