AEC
Australian Electoral Commission
Appendix 1
Federal Registration of Party Members
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APPLICATION FOR MEMBERSHIP |
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Surname |
Please
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Given Names |
Show
given names in full |
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Residential Address |
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·
You are 17
years old or older; and
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You are an
Australian citizen; and
·
You have
lived at your present address for at least the last month
(British
subjects who are not Australian citizens are eligible to enroll for Federal
elections if they were on a Commonwealth of Australia electoral roll on 25
January 1984.)
I
declare that all information I have given on this form is true and complete
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Signature Date . / .... / .. .. |
Note:
Declaration of membership must be completed by (or at the direction of)
the party member concerned and then signed by the member. Particulars are
to be written by hand at the same time as the form is signed.
Each declaration of membership is to be made on a
separate sheet of paper.
The
Electoral Commission may, in order to verify the requirements for registration
of the party, request a person who signs a declaration of membership to confirm
that the person completed and signed the form
PLEASE ATTACH CHEQUE FOR $22(3 YEAR MEMBERSHIP)
AND FORWARD TO THE SECRETARY . THE FISHING PARTY (Qld) PO BOX 1311.
AIRLIE BEACH Qld 4802