Commonwealth Electoral and Referendum Regulations (Amendment) (Provisional) (Cth)
STATUTORY RULES.
PROVISIONAL REGULATIONS UNDER THE COMMONWEALTH ELECTORAL ACT 1902-1909.
I, THE
GOVERNOR-GENERAL in and over the Commonwealth of Australia, acting with the
advice of the Federal Executive Council, hereby certify that, on account of
urgency, the following Regulations under the
Dated the twenty-eighth day of June, One thousand nine hundred and ten.
DUDLEY,
Governor-General.
By His Excellency’s Command,
KING O’MALLEY,
Minister of State for Home Affairs.
Electoral Regulations.
6 aa. (1.) A claim for enrolment under section 56, an application to transfer under section 59, and an application to change under section 61a may be in accordance with the following combined form:—
(Front of Form)
COMMONWEALTH OF AUSTRALIA
The Commonwealth Electoral Act 1902-1909.
To the Electoral Registrar
for the Subdivision of .....................................................................................................
Division of ........................................................................................................
State of ..............................................................................................................
1. I am an inhabitant of Australia and have lived therein for six months continuously.
2. I claim to have my name placed on the Electoral Roll for the Subdivision of.......................... in which I now live and have lived for a period of not less than one month immediately preceding the date of this claim.
3. I am not under the age of 21 years.
4. I am a natural-born or naturalized subject of the King.
5. I am not disqualified from voting.
6. My name is on the Electoral Roll for*.......................................................................................
* Here insert the name of the Subdivision and Division, or if not already enrolled insert the words “no other Subdivision.”
C.8419.—Price 3d.
I declare that the whole of the statements made in this Claim (including those set forth on the back hereof) are true to the best of my knowledge and belief.
Personal Signature of Claimant............................................................................................
Dated the..................................... day of.......................................... 19 .
I the undersigned, being an elector or person qualified to be an elector of the Commonwealth, certify that I have seen the above-named Claimant sign the above claim.
Witness to signature............................................................................................................
Occupation.........................................................................................................................
Place of Living ...................................................................................................................
Any
person who witnesses the signature of the Claimant without being personally
acquainted with the facts, or satisfying himself by inquiry from the Claimant
or otherwise that the statements contained in the Claim are true, is guilty of
an offence, and liable to a penalty of
The signature of the Claimant must be his personal signature. It unable to sign his name in his own handwriting, he may make his mark as his signature, but such signature must be made in the presence of the person who signs as witness.
N.B.—An elector may only have his name placed upon the Roll for the Subdivision in which he lives. A map and description of the boundaries of the Subdivision and a notification relating to qualifications and disqualifications for enrolment may be inspected at, and Electoral Forms for public use may be obtained from, any Post Office.”
(Back of Form.)
Particulars for Enrolment. |
Surname ....................................................................................................
Christian Names..........................................................................................
(In full)
Place of Living ...........................................................................................
(Full postal address)
......................................................................................
Occupation..................................... Sex .....................................................
Personal Signature of Claimant ...................................................................
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(II.) The witness to the signature of the Claimant must be an elector or a person qualified to be an elector of the Commonwealth.”
Printed and Published for the Government of the Commonwealth of Australia by J. Kemp, Government Printer for the State of Victoria.
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