Lodging a submission under s 131(3) 
of the Electoral Act for a non-Parliamentary party	
Completing this form
•	This form is for use by a non-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]

This form must be made by the secretary of the party and nine supporting applicants who are members of the party (new party registration) or the secretary of the party and two supporting applicants who are members of the party (change to the Register of Political Parties application). The applicant/s must sign this form and provide their details as provided below and on the reverse of this page.

Secretary’s details
Secretary’s name		Signature
1.  			
	Street address	
Further 9 supporting applicants
2.  	Party member’s name	Capacity (e.g. party member)	Signature	
	Street address	

3.  	Party member’s name	Capacity (e.g. party member)	Signature	
	Street address	

4.  	Party member’s name	Capacity (e.g. party member)	Signature	
	Street address	

5.  	Party member’s name	Capacity (e.g. party member)	Signature	
	Street address	

6.  	Party member’s name	Capacity (e.g. party member)	Signature	
	Street address	

7.  	Party member’s name	Capacity (e.g. party member)	Signature	
	Street address	

8.  	Party member’s name	Capacity (e.g. party member)	Signature	
	Street address	

9.  	Party member’s name	Capacity (e.g. party member)	Signature	
	Street address	

10.  	Party member’s name	Capacity (e.g. party member)	Signature	
	Street address	
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.