Request for Amendment 
Donor to Political Party Disclosure Return – Individuals
2017–18 FINANCIAL YEAR		
Completing the return:
•	This request for amendment should be used to amend a 2017–18 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 http://www.aec.gov.au/Parties_and_Representatives/financial_disclosure/index.htm.
•	This request for amendment will be available for public inspection from Friday 1 February 2019 on the AEC website. 
•	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 s 319A(2) 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.	
2017–18 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 submitting an incomplete, false or misleading return is an offence under section 315 of the Commonwealth Electoral Act 1918.
	
Signature				
		Date	     	

Enquiries and returns 
should be addressed to: 	Disclosure and Compliance
Australian Electoral Commission
Locked Bag 4007
Canberra ACT 2601	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 Division 4 – Disclosure of donations, in Part XX the Commonwealth Electoral Act 1918.

Registered Political Party and Branch Codes	
CODE 	 Party / Branch
	
ACP-ACT	Australian Conservatives (ACT)	
ACP-NSW	Australian Conservatives (NSW)	
ACP-NT	Australian Conservatives (NT)	
ACP-QLD	Australian Conservatives (Qld)	
ACP-SA	Australian Conservatives (SA)	
ACP-TAS	Australian Conservatives (Tas)	
ACP-VIC	Australian Conservatives (Vic)	
ACP-WA	Australian Conservatives (WA)	
ACP	Australian Conservatives	

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-SA	Australian Labor Party (South Australian Branch)	
ALP-QLD	Australian Labor Party (State of Queensland)	
ALP-TAS	Australian Labor Party (Tasmanian Branch)	
ALP-VIC	Australian Labor Party (Victorian Branch)	
ALP-WA	Australian Labor Party (Western Australian Branch)	
ALP-FED	Australian Labor Party (ALP)	
CLR-NSW	Country Labor Party	

DLP-NSW	Democratic Labour Party NSW Branch	
DLP-QLD	Democratic Labour Party - Queensland Branch	
DLP-VIC	Democratic Labour Party - Victorian Branch	
DLP-WA	Democratic Labour Party - WA Branch	
DLP	Democratic Labour 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	The Australian Greens - Victoria	
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-FED	Liberal Party of Australia	

LDP-ACT	Liberal Democratic Party (ACT Branch)	
LDP-NSW	Liberal Democratic Party (NSW Branch)	
LDP-QLD	Liberal Democratic Party (QLD Branch)	
LDP-SA	Liberal Democratic Party (SA Branch)	
LDP-VIC	Liberal Democratic Party (Victoria Branch)	
LDP-WA	Liberal Democratic Party (WA Branch)	
LDP	Liberal Democratic Party	

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

SPP	#Sustainable Australia	
AJP	Animal Justice Party	
AFP-NSW	Australia First Party (NSW) Incorporated	
APPH	Australian Affordable Housing Party	
ACH	Australian Christians	
CAL	Australian Country Party	
ALA	Australian Liberty Alliance	
APEP	Australian People’s Party	
PROG	Australian Progressives	
AWP	Australian Workers Party	
XEN	Centre Alliance	
CDP	Christian Democratic Party (Fred Nile Group)	
CEC	Citizens Electoral Council of Australia	
CLP-NT	Country Liberals (Northern Territory)	
DHJP	Derryn Hinch’s Justice Party	
NMP	Health Australia Party	
HEM	Help End Marijuana Prohibition (HEMP) Party	
IMO	Involuntary Medication Objectors (Vaccination/Fluoride) Party	
JLN	Jacqui Lambie Network	
KAP	Katter’s Australian Party	
LAOL	Love Australia or Leave	
NCP	Non-Custodial Parents Party (Equal Parenting) 	
SOL	Online Direct Democracy – (Empowering the People!)	
ONA	Pauline Hanson’s One Nation	
PIR	Pirate Party Australia	
RPA	Republican Party of Australia	
RUA	Rise Up Australia Party	
FUT	Science Party	
SPA	Secular Party of Australia	
SUN	Seniors United Party of Australia	
SFP	Shooters, Fishers and Farmers Party	
SAL	Socialist Alliance	
SEP	Socialist Equality Party	
ARTS	The Arts Party	
AMHP	The Australian Mental Health Party	
VEP	Voluntary Euthanasia Party	
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