APPLICATION TO LIVE WITHIN

THE

CITY OR COUNTY
OF
Dublin
(Including Fingal)

Anyone not born within the City and County of Dublin will now be required to
Complete the attached application form and return it to:

The Immigration and Population Control Officer

(Culchie Section)

Dublin Corporation Offices

Wood Quay

Dublin 2.

within 21 days of arriving in the City or County of Dublin

Application to live in the City or County of Dublin.
(Including Fingal)

Name:__________________________

Nickname : (what your friends call you ) __________________________

Address : ( herd number ) _________________________

Father: ( otherwise known as Daddy ) ____________________________
( If you don't know your Daddy, list three suspects )

Mother: _____________________________

Neck Shade: Light Red [_] Medium Red [_] Dark Red [_]

Do You own you own teeth ? Yes [_] No [_]

If borrowed, please state from whom. ________________________

Number of Teeth in Full Grin: Upper: _____ Lower: _____

Length of Right Leg: ____ Length of Left Leg: ____

How many wellies do you own ? ______ (pairs)

Size of Farm:
(please tick)

Middlin' [_] Smallish [_] Bit of a Field [_] Only A Bog [_]

Make of your Tractor: ________Weight of Your Tractor: ________

Tractor Equipped With (please tick) : Gun Rack [_] 4 Wheel Drive [_] Cassette Deck [_] Load of Turf [_] Ford Cortina Shock Absorbers [_] Truck Wheels [_] Sawdoctor's CDs [_] Mud Flaps [_] Toothpick Holder [_] Big Dog [_] Goat's Hide [_]

Number of empty Beer Cans on floor of your tractor: _________

BUMPER STICKERS SHOWN :
(please tick)

"Well Holy God" [_] Me Other Car Is A Piece of SHITE Too [_] If you're not from Cavan, you're not worth a shite [_] Mayo for Sam [_] Honk if you love Glenroe [_] Supermacs [_]

FAVOURITE VOCALIST:
(please tick)

Margo [_] Big Tom [_] Loretta Lynn [_] Hank Williams [_] Brendan Shine [_]
Garth Brooks [_] Tammy Wynette [_] Declan Nerney [_] Daniel O' Donnell [_] Meself [_] What's A Vocalist? [_]

FAVOURITE RECREATION:
(please tick)

Line Dancin' [_] Sheep Shaggin' [_] Slurry Smellin' [_] Bailin' Hay [_] Dole Signin' [_] Drinkin' [_] Chewin' Tabacca [_] Belchin' [_] Spittin' [_] Other [_]

Name(s) of Daughter(s) :
(please tick)

Mary [_] Biddy [_] Bridie [_] Udder [_]

Weapons Owned :
(please tick)

Shovel [_] Power or Chain Saw [_] Pick Handle [_] Slash Hook [_] Hurley [_] Other [_]

Cap Emblem:
(please tick)

Guinness [_] Smithwicks [_] Massey Ferguson [_] Net Nitrate 10-10-20 [_] Kerry Co-Op [_]
Smile if you're wearin' wellies [_]

Number of Dependants : Legal ___ Claimed ___
Number of Welfare Cheques Claimed ____

Number of Weeks Unemployed: ______ (REALLY ____ )

Membership Of:
(please tick)

GAA [_] IFA [_] Macra [_] ICA [_] Youth Defence [_] Fine Gael [_]

Car Model:
(please tick)

Ford Cortina [_] Ford Escort MK1 [_] Ford Escort MK2 [_] Fiat Ritmo [_] VW Jetta [_] Humber [_] Honda 50 [_]

How many cars do you have jacked up on blocks in your yard ? _____

Are you married to any of the following :
(please tick)

Sister [_] Brother [_] Cousin [_] Cow [_]

Does your wife weigh more than your tractor ? Yes [_] No [_]

Can you write your name and get the spelling right every time ? Yes [_] No [_]

Have you ever stayed sober for a whole weekend ? ________ If Yes, Why ? __________

Can you count to :
(please tick)

Ten with your shoes on [_] Twenty-one with your fly closed [_]

Medical History:

B.O. [_] Bovine T.B. [_] Smelly Feet [_] Runny Nose [_] Bad Breath [_] Head Lice [_]
Sheep Lice [_] Foot & Mouth Disease [_]

Please give the same information in respect to yourself.

THANK YOU FOR FILLING IN THIS FORM

We Will Let You Know If Ewe Can Stay Next Week.