Request for Amendment 
Donor to Political Party Disclosure Return – Individuals
FINANCIAL YEAR 2014–15		
Completing the Return:
•	This request for amendment should be used to amend a 2014–15 Donor to Political Party Disclosure Return - Individuals lodged with the AEC.
•	This request for amendment is to be completed with reference to the Financial Disclosure Guide for Donors to Political Parties.
•	Further information is available at www.aec.gov.au.
•	This request for amendment will be available for public inspection from Monday 1 February 2016 at www.aec.gov.au. 
•	Any supporting documentation included with this request for amendment may be treated as part of a public disclosure and displayed on the AEC website.
•	The information on this request for amendment is collected under the Commonwealth Electoral Act 1918. 

NOTE: this form is for the use of individuals only. Please use the form Request for Amendment - Donor to Political Party Disclosure Return – Organisations if you are completing a return for an organisation.	
2014–15 Return details		
Is this the first amendment 
to the return?	Yes			No			How many other Request for Amendments have been lodged?	     		

Details of person who made the donation	
Name	     	
Postal address 	     	
	Suburb/town      	State	     	Postcode       	
Telephone number	(   )       	Fax number	(   )       	
Email address		

Request and Certification	
I request the Electoral Commission amend the Donor to Political Party Return – Individuals as detailed in this request for amendment.
I certify that the information contained in this request for amendment and its attachments is true and complete to the best of my knowledge, information and belief.
I understand that giving false or misleading information is a serious offence.
	
Signature				
		Date	     	

Enquiries and returns 
should be addressed to: 	Funding and Disclosure
Australian Electoral Commission
PO Box 6172
Kingston ACT 2604	Phone:	02 6271 4552
Fax:	02 6293 7655
Email:	fad@aec.gov.au	
	
Office use only
Date received		

Part 1: Donations made		
No change to previous information	   OR	
Provide details of changes or amendments to the information previously provided.
How to complete this table:
•	If you are amending an existing entry, complete the ‘Original Entry’ item as it appeared on the original return and then write the amendment in full at the ‘Amended Entry’ item.
•	If adding a completely new entry, write N/A in the ‘Original Entry’ item and complete the ‘Amended Entry’ item in full’.
•	Amounts should be reported on a GST inclusive basis.	
Party details	Date of donation	Value of donation
(GST inclusive)	
Original 
Entry	Name/Party code	     	     	$       	.00	
	Postal address	     				
	Suburb/Town	     	State    	Postcode     		
Amended 
Entry	Name/Party code	     	     	$       	.00	
	Postal address	     				
	Suburb/Town	     	State    	Postcode     		
Original 
Entry	Name/Party code	     	     	     	.00	
	Postal address	     				
	Suburb/Town	     	State    	Postcode     		
Amended 
Entry	Name/Party code	     	     	     	.00	
	Postal address	     				
	Suburb/Town	     	State    	Postcode     		
Original 
Entry	Name/Party code	     	     	$       	.00	
	Postal address	     				
	Suburb/Town	     	State    	Postcode     		
Amended 
Entry	Name/Party code	     	     	$       	.00	
	Postal address	     				
	Suburb/Town	     	State    	Postcode     		
Original 
Entry	Name/Party code	     	     	$       	.00	
	Postal address	     				
	Suburb/Town	     	State    	Postcode     		
Amended 
Entry	Name/Party code	     	     	$       	.00	
	Postal address	     				
	Suburb/Town	     	State    	Postcode     		

If insufficient space, please attach additional sheets.

Part 2: Donations received	
No change to previous information	   OR	

Provide details of changes or amendments to the information previously provided.
How to complete this table:
•	If you are amending an existing entry, complete the ‘Original Entry’ item as it appeared on the original return and then write the amendment in full at the ‘Amended Entry’ item.
•	If adding a completely new entry, write N/A in the ‘Original Entry’ item and complete the ‘Amended Entry’ item in full.
•	Amounts should be reported on a GST inclusive basis.	
Received from	Date of donation	Value of donation*
(GST inclusive)	
Original 
Entry	Name/Party code	     	     	$       	.00	
	Postal address	     				
	Suburb/Town	     	State    	Postcode     		
Amended 
Entry	Name/Party code	     	     	$       	.00	
	Postal address	     				
	Suburb/Town	     	State    	Postcode     		
Original 
Entry	Name/Party code	     	     	     	.00	
	Postal address	     				
	Suburb/Town	     	State    	Postcode     		
Amended 
Entry	Name/Party code	     	     	     	.00	
	Postal address	     				
	Suburb/Town	     	State    	Postcode     		
Original 
Entry	Name/Party code	     	     	$       	.00	
	Postal address	     				
	Suburb/Town	     	State    	Postcode     		
Amended 
Entry	Name/Party code	     	     	$       	.00	
	Postal address	     				
	Suburb/Town	     	State    	Postcode     		
Original 
Entry	Name/Party code	     	     	$       	.00	
	Postal address	     				
	Suburb/Town	     	State    	Postcode     		
Amended 
Entry	Name/Party code	     	     	$       	.00	
	Postal address	     				
	Suburb/Town	     	State    	Postcode     		

If insufficient space, please attach additional sheets.
	
*Donation is a gift within the meaning of the Commonwealth Electoral Act 1918.
Registered Political Party and Branch Codes	
CODE 	 Party / Branch	

ALP-ACT	Australian Labor Party (ACT Branch)	
ALP-NSW	Australian Labor Party (N.S.W. Branch)	
ALP-NT	Australian Labor Party (Northern Territory Branch)	
ALP-QLD	Australian Labor Party (State of Queensland)	
ALP-SA	Australian Labor Party (South Australian Branch)	
ALP-TAS	Australian Labor Party (Tasmanian Branch)	
ALP-VIC	Australian Labor Party (Victorian Branch)	
ALP-WA	Australian Labor Party (Western Australian Branch)	
ALP	Australian Labor Party (ALP)	
CLR-NSW	Country Labor Party	

FFP-QLD	Family First Party – QLD	
FFP-SA	Family First Party – SA	
FFP-VIC	Family First Party – VIC	
FFP	Family First Party 	

GRN-ACT	Australian Greens, Australian Capital Territory Branch	
GRN-NSW	The Greens NSW	
GRN-NT	Australian Greens, Northern Territory Branch	
GRN-QLD	Queensland Greens	
GRN-SA	Australian Greens (South Australia)	
GRN-TAS	Australian Greens, Tasmanian Branch	
GRN-VIC	Australian Greens, Victorian Branch	
GRN-WA	The Greens (WA) Inc	
GRN-FED	Australian Greens	

LIB-ACT	Liberal Party of Australia – ACT Division	
LIB-NSW	Liberal Party of Australia, NSW Division	
LNP-QLD	Liberal National Party of Queensland	
LIB-SA	Liberal Party of Australia (S.A. Division)	
LIB-TAS	Liberal Party of Australia – Tasmanian Division	
LIB-VIC	Liberal Party of Australia (Victorian Division)	
LIB-WA	Liberal Party (W.A. Division) Inc.	
LIB	Liberal Party of Australia	

NAT-SA	National Party of Australia (S.A.) Inc.	
NAT-VIC	National Party of Australia – Victoria	
NAT-NSW	National Party of Australia – N.S.W.	
NAT-WA 	National Party of Australia (WA) Inc	
NAT	National Party of Australia	

SPP	#Sustainable Population Party	
21C	21st Century Australia	
AJP	Animal Justice Party	
AFP-NSW	Australia First Party (NSW) Incorporated	
FNP	Australia’s First Nations Political Party	
ACH	Australian Christians	
CYC	Australian Cyclists Party	
ADVP	Australian Defence Veterans Party	
AEQ	Australian Equality Party	
AUS-IND	Australian Independents	
AMEP	Australian Motoring Enthusiast Party	
PROG	Australian Progressives	
ASP	Australian Sex Party	
SOV	Australian Sovereignty Party	
SPRT	Australian Sports Party	
VCE	Australian Voice Party	
BTA	Bullet Train for Australia	
CDP	Christian Democratic Party (Fred Nile Group)	
CEC	Citizens Electoral Council of Australia	
COK	Coke in the Bubblers	
CAL	Country Alliance	
CLP-NT	Country Liberals (Northern Territory)	
DLRA	Drug Law Reform Australia	
FUT	Future Party	
HEM	Help End Marijuana Prohibition (HEMP) Party	
JLN	Jacqui Lambie Network	
JMMFP	John Madigan’s Manufacturing and Farming Party	
KAP	Katter’s Australian Party	
LDP	Liberal Democratic Party	
NMP	Natural Medicine Party	
XEN	Nick Xenophon Group	
NCP	Non-Custodial Parents Party (Equal Parenting) 	
ONA	One Nation	
SOL	Online Direct Democracy – (Empowering the People)	
ODR	Outdoor Recreation Party (Stop the Greens)	
PUP	Palmer United Party	
PIR	Pirate Party Australia	
RPA	Republican Party of Australia	
RUA	Rise Up Australia Party	
SPA	Secular Party of Australia	
SUN	Seniors United NSW	
SFP	Shooters and Fishers Party	
SMK	Smokers Rights Party	
SAL	Socialist Alliance	
SEP	Socialist Equality Party	
ARTS	The Arts Party	
WIKI	The Wikileaks Party	
UNP	Uniting Australia Party	
VEP	Voluntary Euthanasia Party