Political Party Registration Form

To fill out the form below you must be an Australian citizen over 18yrs and registered to vote on the electoral roll. All details must be accurate and the same as it would appear on the electoral roll.

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Title

Name

First

Middle

Last

Date of birth

Mobile Numbers

Home Numbers

(optional)

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

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By completing this form, you are becoming a member of NSM AUSTRALIA 🇦🇺 and assisting in the registration of our political party with the Australian Electoral Commission (AEC). Please ensure all information is accurate, as you may be contacted by the AEC to verify details you have provided. Please also ensure you are not a member of any other registered political party. These details ARE NOT made available to any other government agency, as confirmed by the AEC email attached below.

Thankyou for your support, and we look forward to navigating these interesting and historic times heading our way, shoulder to shoulder with you