Elections ACT

Approved form 2008       made under the Electoral Act 1992	

Application to change
register of political parties 
for ACT Legislative Assembly elections	
If you want to:				
Change the name of the party 
Change the abbreviation of the party name
Register an abbreviation of the party name
Change the name of the registered officer
Change the address of the registered officer		Complete A,B & G
Complete A,C & G
Complete A,D & G
Complete A,E,F & G
Complete A,F & G	
	
Section A – Current name of the party 	
	
Name of party:			

Section B – Application to change the name of the party 	
	
Proposed new party name:			

Section C – Application to change the abbreviation of the party 	
	
Proposed new party abbreviation:			

Section D – Application to enter an abbreviation of the party 	
	
Proposed party abbreviation:			

Section E – Application to change the name of the registered officer	
	
Name of the proposed new registered officer:			
	
Signature of the proposed new registered officer:	/       /       		
Note: Please complete Section F to change address details	
Section F – Application to change the address of the registered officer	
	
Address of the registered officer
This address can be residential or business, or the Party address (but none can be a PO Box):			
	Postcode:             		
	
Address for party correspondence (if different from the above):			
	Postcode:             		
	
Contact telephone:			
	
Section G – Secretary of party to complete	
	
I hereby apply to change the details in section(s)		above.	
	
Full name:			
	
Formal title of position held in party:			
	
Contact telephone:			
	
Signature:	/       /