REDNECKS
& CULCHIES APPLY HERE!!!
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.
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