Application for registration of a 
non-Parliamentary party	
Completing this form
•	This application is for use by political parties who have no members in the federal Parliament and 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, registered logo, postal address, website, election funding choice and the name and address of the registered officer. 
•	A new party with a member in the Senate or House of Representatives needs to use the form—Application for registration by a 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 must be made by ten members of the party who are on the Commonwealth Electoral Roll (including the secretary 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.

Secretary
Secretary’s name	     	
Street address 	     	
	Suburb/town	     	State      	Postcode      	
Signature		…./…./….	
Remember to attach form detailing the appointment of the secretary

Remaining nine applicants’ details – complete all members’ details
2.  	Party member’s title and name	Capacity (eg party member)	Signature	
	Street address	

3.  	Party member’s title and name	Capacity (eg party member)	Signature	
	Street address	

4.  	Party member’s title and name	Capacity (eg party member)	Signature	
	Street address	

5.  	Party member’s title and name	Capacity (eg party member)	Signature	
	Street address	

6.  	Party member’s title and name	Capacity (eg party member)	Signature	
	Street address	

7.  	Party member’s title and name	Capacity (eg party member)	Signature	
	Street address	

8.  	Party member’s title and name	Capacity (eg party member)	Signature	
	Street address	

9.  	Party member’s title and name	Capacity (eg party member)	Signature	
	Street address	

10.  	Party member’s title and name	Capacity (eg party member)	Signature	
	Street address	

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 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 completed and attached the appointment of secretary form?		
Have you completed and attached the appointment of party agent form?		
Has an independent party officer certified that the secretary of the party was appointed in accordance with the party constitution?		
Have you included or paid the $500 application fee?		
Is the application signed by the secretary?		
Is the application made by 10 party members who appear on the Electoral Roll, with addresses that are not PO boxes?		
Have you annexed a copy of the party’s constitution with attached statutory declaration signed by the secretary and authorised witness?		
Have you annexed a list of at least 1,500 party members on the Electoral Roll, with attached statutory declaration signed by the secretary and authorised witness?		
Have you provided the same membership list in electronic format?		
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?