Electoral and Referendum Regulations (Amendment) (Cth)
I, THE GOVERNOR-GENERAL of the Commonwealth of
Australia, acting with the advice of the Federal Executive Council, hereby make
the following Regulation under the
Dated 15 September 1983.
N. M. STEPHEN
Governor-General
By His Excellency’s Command,
K. C. BEAZLEY
Special Minister of State
The Schedule to the Electoral and Referendum Regulations is amended by omitting Form 2 and substituting the following form:
FORM 2 Regulation 8
COMMONWEALTH OF AUSTRALIA ELECTORAL CLAIM
Fill in this form if—
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Please post it in the prepaid envelope, or deliver it, to the Australian Electoral Office. Your claim will be acknowledged.
PERSONAL PARTICULARS | Commonwealth of Australia To the Electoral Registrar, Subdivision of | ||
Please use BLOCK LETTERS only. Please use blue or black ink only. | My name is | Surname | |
Please include all names by which you are generally known. | Christian or given names | ||
Residential address—you can only be enrolled for your residential address. Please give your full address. If you live in a rural area show sufficient detail to identify your place of living. | I live at | Flat/Street number Street/Road | |
Suburb/Town/Locality | |||
Postal address—if the same as residential address put ‘As above’. | My postal address is | Postal address | Postcode |
Your postal address will not appear on the roll. | My occupation is | Occupation | (delete one) and I am Male/Female |
The remaining details are necessary for identification but will not appear on the roll. | I was born on | day month year Town ............ /......... /.......... / in | Country |
Complete former address only if you have moved since your last enrolment. | My former address was | No. Street Suburb/Town | State/Territory |
Complete former name only if you have changed your name (for example by marriage) since your last enrolment | My former name was | Former name | |
FORM 2 –
DECLARATION | 1 am entitled to enrolment because— (a) I am not under 18 years of age; (b) I have lived continuously in Australia for at least 6 months; (c) I am an Australian citizen or other British subject;
| |
Upon enrolment you will be entitled to vote at elections for the House of Representatives and the Senate. | ||
and I claim enrolment for the Subdivision. | ||
You must sign this declaration in the presence of a person who is enrolled, or entitled to be enrolled, on an electoral roll kept for the purposes of a House of Representatives election. | I declare that the statements made in this claim, including my personal particulars set out above, are true to the best of my knowledge and belief. | |
A person who is unable to sign his name in writing may make his mark as his personal signature. | ............................................................. ........ /...... ./....... | |
Personal Signature of Claimant Date | ||
WITNESS | I saw this claim signed by the claimant and am satisfied that the statements | |
As the person to witness this claim you must be satisfied from personal knowledge or enquiry of the claimant or otherwise that the information declared is true. | contained in the claim are true. I am enrolled, or entitled to be enrolled, on an electoral roll kept for the purposes of a House of Representatives election. | |
Name of witness in BLOCK LETTERS | Surname Christian or given names | |
You may not witness this claim unless you are able to sign your name in writing. | Full address of witness | Address |
............................................................. ........ /...... /........ Signature of witness Date | ||
1. Notified in the
Commonwealth of Australia Gazette on 22 September 1983.2. Statutory Rules 1940 No. 163 as amended to date. For previous amendments
see Note 2 to Statutory Rules 1983 No. 114 andsee also
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