ELECTORAL AND REFERENDUM REGULATIONS (AMENDMENT) 1983 NO. 181 ELECTORAL AND REFERENDUM REGULATIONS (AMENDMENT) 1983 NO. 181 - TABLE OF PROVISIONS 1. The Schedule 1983 No. 181 ELECTORAL AND REFERENDUM REGULATIONS (AMENDMENT) - REG 1 The Schedule 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- (a) you are claiming enrolment on an electoral roll; or (b) you need to change your name, address or other details on an electoral roll. Please post it in the prepaid envelope, or deliver it, to the Australian Electoral Office. Your claim will be acknowledged. ------------------------------------------------------------------------------ -- Australian Capital Territory To the Electoral Registrar, PERSONAL PARTICULARS Division ------------------------------------------------------------------------------ -- Please use BLOCK LETTERS My name is Surname only. Please use blue or black ink only. ----------------------------- Please include all names by Christian or given names which you are generally known. ----------------------------- Residential address - you I live at Flat/Street Street/Road can only be enrolled for number your residential address. If you live in a rural area ----------------------------- show sufficient detail to Suburb/Town/Locality identify your place of living. ----------------------------- Postal address - if the My postal address is Postal address Postcode same as residential address put 'As above'. ----------------------------- Your postal address will My occupation is Occupation (delete one) not appear on the roll. and I am Male/Female ----------------------------- The remaining details are I was born on day month year Town Country necessary for identification but will not appear on the .../.../... in roll. ----------------------------- Complete former address My former address No. Street Suburb/ State/ only if you have moved since was Town Territory your last enrolment. ----------------------------- Complete former name only My former name was Former name if you have changed your name (for example by ----------------------------- marriage) since your last enrolment ------------------------------------------------------------------------------ -- DECLARATION I am entitled to enrolment ------------------------------------------------- because- Upon enrolment you will be entitled to vote at (a) I am not under 18 years elections for the House of Representatives and of age; the Senate. (b) I have lived continuously in Australia for at least 6 months; (c) I am an Australian citizen or other British subject; (d) I have lived at my present address (or elsewhere within the the Division) for the period of 1 month immediately before the date of this claim, and I claim enrolment for the Division. You must sign this declaration in the presence of I declare that the a person who is enrolled, or entitled to be statements made in this enrolled, on an electoral roll kept for the claim, including my purposes of a House of Representatives election. 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 Date of Claimant ------------------------------------------------------------------------------ -- WITNESS I saw this claim signed by -------------------------------------------------- the claimant and am As the person to witness satisfied that the this claim you must be statements contained in the satisfied from personal claim are true. knowledge or enquiry of the claimant or I am enrolled, or entitled otherwise that the to be enrolled, on an information declared electoral roll kept for the is true. purposes of a House of Representatives election. ---------------------------- Name of witness in Surname Christian or BLOCK LETTERS given names ---------------------------- You may not witness this Full address of Address claim unless you are able witness to sign your name in writing ---------------------------- ................. ../../.. Signature of Date witness ------------------------------------------------------------------------------ -- - NOTES 1983 No. 181*1* ELECTORAL AND REFERENDUM REGULATIONS*2* (AMENDMENT) *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 and see also Statutory Rules 1983 Nos. 114, 153 and 176.