Application for registration of a 
Parliamentary party	
Completing this form
•	This application form is for use by political parties that have one or more Members of the House of Representatives (MHR) or Senate that wish to register a political party to contest elections for the Senate and/or House of Representatives. A registered political party can have its registered party name, registered abbreviation or registered logo printed on the ballot papers next to the name of its endorsed candidates. 
•	Further information is provided in the Guide for registering a party available at www.aec.gov.au.
•	This form is to be completed with reference to the Guide for registering a party.
•	Information on this form is collected under the Commonwealth Electoral Act 1918 (Electoral Act).
•	The application is a public document during the registration process. After that, the public information is restricted to the party name, abbreviation, postal address, website, election funding choice and the name and address of the registered officer.
•	A new party without a member in the Senate or the House of Representatives should use the form—Application for registration of a non-Parliamentary party.
•	If you wish to register a political party to contest State or Territory elections, please contact your local State or Territory electoral commission.
Name of political party	     	
	Please enter the party name exactly as you wish it to appear on the Register. 
This exact name can also be printed on ballot papers.
	
Abbreviation of party	     	
	This exact abbreviation is an alternative that can be printed on ballot papers 
	
Political party logo	Does the party wish to register a logo? If registering a party logo, it must be submitted in the correct format detailed in the Commonwealth Electoral (Logo Requirements) Determination 2016. For further information please refer to page 10 of the Guide for registering a party	☐ YES    ☐ NO	
Election funding	Does the party wish to receive election funding in accordance with Division 3 of Part XX of the Electoral Act?	☐ YES      NO	
Names to be registered only with consent (if required)	Is the application accompanied by written consent for the use of a word in the name, abbreviation or logo if used by another currently registered political party in accordance with ss 129(3) and 129A(2) of the Electoral Act? For further information please refer to page 9 of the Guide for registering a party	☐ YES    ☐ NO	
Party contact details
Street address	     	
	Suburb/town	     	State    	Postcode     	
Postal address	     	
	Suburb/town	     	State    	Postcode     	
Telephone number:(inc area code) 	(   )       	Fax number:(inc area code)  	(   )       	
Mobile	     	
Email address	     	
Website	     	

Is the party a branch or division of a federally registered political party?	
☐ YES                      ☐ NO		
If yes, name of registered party	     	
Proposed registered officer details
Party name	     	
Title	     	
Name	     	
Street address*	     	
	Suburb/town	     	State      	Postcode      	
Postal address	     				
	Suburb/town	     	State      	Postcode      	
Daytime	Telephone (   )       	After hours (   )       	
Mobile	     	Fax number (   )       	
Email address	     	
	I am not appointed as a registered officer or deputy registered officer for any other federally registered political party.	
Signature		…./…./….	
*Note: It is a requirement under Part XI of the Electoral Act that a street address for the registered officer is published on the AEC website in the Register of Political Parties. The street address does not have to be the registered officer’s residential address and can be an alternate street address such as the party’s office street address. This address may also be published in newspapers nationally during the application process. 
Applicants for party registration
•	This application can be made by the secretary of the party or all the Parliamentary members of the party.
•	The party secretary is an important position identified in the Electoral Act and has considerable power under the Electoral Act. Attach a completed Appointment of party secretary form (from AEC website), countersigned by another senior party officer as independent evidence of the appointment of the secretary in line with the requirements of the party constitution.

If the application is being made by the secretary of the Parliamentary party:
Secretary’s name	     	
Street address 	     	
	Suburb/town	     	State      	Postcode      	
Signature		…./…./….	

Name of the Parliamentary member that supports the application

ALTERNATIVELY
If the application is not made by the party secretary it must be made by all the party’s Parliamentary members:
We the following Senators and Members of the House of Representatives (MHR) declare that we are members of the party. We have each supplied a letter on our Parliamentary letterhead to the secretary of the Party confirming this.

Parliamentarian’s name	SENATOR / MHR	
Signature
…/…/…	Parliament House
Canberra	
		
Parliamentarian’s name	SENATOR / MHR	
Signature
…/…/…	Parliament House
Canberra	
		
Parliamentarian’s name	SENATOR / MHR	
Signature
…/…/…	Parliament House
Canberra	
		
Parliamentarian’s name	SENATOR / MHR	
Signature
…/…/…	Parliament House
Canberra	
		
Parliamentarian’s name	SENATOR / MHR	
Signature
…/…/…	Parliament House
Canberra	
		
Parliamentarian’s name	SENATOR / MHR	
Signature
…/…/…	Parliament House
Canberra	
		
Parliamentarian’s name	SENATOR / MHR	
Signature
…/…/…	Parliament House
Canberra	

If the Parliamentary members are making the application, please ensure an Appointment of party secretary form is completed and that the secretary also lodges a statutory declaration confirming that the Parliamentarians are members of the party and annexing the letters provided.

CHECKLIST – Is your application complete?

You must ensure this checklist is complete before submitting your application for political party registration to the AEC. Failure to ensure the application has been properly completed will result in delays in the registration process.

Please tick each box as the item is completed.
Have you included the name of the party EXACTLY as you want it to appear in the Register and be printed on ballot papers?			
If you wish to enter an abbreviation of the party name into the Register, have you included it EXACTLY as you want it to be printed on ballot papers?		
Have you provided your logo in the correct format via email?		
Have you indicated whether the party wishes to receive election funding in accordance with Division 3 of Part XX of the Electoral Act?		
Where required: is the application accompanied by written consent for the use of a word in the name, abbreviation or logo if used by another currently registered political party, in accordance with ss 129(3) and 129A(2) of the Electoral Act?		
Have you provided the party’s postal address?		
Have you completed and attached the appointment of secretary form?		
Have you completed and attached the appointment of party agent form?		
Have you included the name of the proposed registered officer of the party and provided an address which is NOT a post office box?		
Has the proposed registered officer signed the form?		
Have you included or paid the $500 application fee?		
Is the application signed by the secretary or all the Parliamentary members?		
Have you attached a statutory declaration from the secretary of the party annexing and attesting to the MP’s letters and the constitution?		
Have you included a copy of the party’s constitution annexed and signed by the secretary and authorised witness?		
Have you attached copies of letters on Parliamentary letterheads from all Senators or MHRs who are members of the party?		
Have you telephoned the AEC to advise it of your application and the transmission method?		

If you are a Branch/Division of a Federally Registered Political Party:
Have you attached a letter from the registered party, signed by the secretary of that party, confirming your party’s status?