Lodging a submission under s 131(3) 
of the Electoral Act for a Parliamentary party	
Completing this form
•	This form is for use by a Parliamentary party applying for registration or changing its details in the Register of Political Parties where the Australian Electoral Commission (AEC) has issued a notice to the party under s 131(1) of the Commonwealth Electoral Act 1918 (Electoral Act) that it is of the opinion it must refuse the application unless the party is prepared to vary its application. 
•	Further information about these processes is provided in the Guide for registering a party available at www.aec.gov.au.
•	Information on this form is collected under the Electoral Act.
Name of Political Party	     	
Please enter the party name exactly as it appeared in your original application.  

The Electoral Commission has advised under s 131(1) of the Electoral Act that it is of the opinion it is required to refuse the application to register the party or change the party’s details in the Register of Political Parties in its current form, but that we might be prepared to vary the application so that the Electoral Commission is not required to refuse it.  
As an applicant we request the AEC under s 131(3) of the Electoral Act to consider:  

1.	the party’s varied application as set out on the attached page(s); 
[if you choose this option, you must provide the further evidence sought by the AEC in its notice issued to your party]
OR (please strike out 1. or 2.)
2.	determine the party’s application for registration in its current form. 
[if you choose this option, you should expect your application to be refused]

The original applicants for registration must sign this form and provide their details as provided below and on the reverse of this page. 

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 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	

Please note that giving false information in this form is a serious offence.

Add any further information requested by the AEC in its notice to the party.