Application for Party Membership

Membership applications will only be accepted from natural persons eligible to vote in State, Territory and/or Federal elections, who are not already members of a political party registered with any State, Territory or Federal electoral commission or electoral authority in Australia. Simply type the required information into the input fields which follow, and click "Submit".


Applicant Details

Surname

Given Names

Street Address

Town/suburb

Postcode

Telephone (H)

Telephone (W)

Mobile

Fax

Email

Date of Birth

Declaration

I wish to become a member of the above political party. I am not already a member of a political party registered with any State, Territory or Federal electoral commission or electoral authority in Australia.

I am eligible to enrol for Federal elections i.e. I am 17 years of age or older, I am an Australian citizen (or a British citizen who was on the Australian Electoral roll on 25 January 1984) and I have lived at the above address for at least one month.

I consent to this form being forwarded to the relevant State, Territory and/or Federal electoral commission or electoral authority in Australia in support of the party's application for registration as a political party.

I declare that the information I have given on this form is true and complete.


Note - The Australian Electoral Office requires that your application be personally signed by you. Therefore, a printed copy of this form containing your details, will be returned to you for signature and return to us via reply paid envelope. At that time you will be provided with details of how you can pay a membership subscription (if applicable - Associate Membership is free), and/or to make a donation if you wish.