Document ID: chunk:federal_register_of_legislation:C2019A00002:clause:1_83:p6
Version: federal_register_of_legislation:C2019A00002
Segment Type: clause
Provision Reference: sch 1 cl 83 (pt 6/6)
Character Range: 46464–47577

relevant details, to the extent known (for example, your direct or indirect financial interests, or why the response to question 15 is unknown):

Relevant details relating to possible disqualification by reason of section 44(v) of the Australian Constitution

       [Please provide particulars of, and documents related to, any details provided in your response to question 15a. These will be published with this checklist on the Australian Electoral Commission's website.]

   16.  Please provide any additional details relating to your qualification under the Australian Constitution or the Commonwealth Electoral Act 1918:

       [Please provide particulars of, and documents related to, any details provided in your response to question 16. These will be published with this checklist on the Australian Electoral Commission's website.]

I confirm the information in the checklist provided above, and any additional information provided in support of my statements, to be true and correct, to the best of my knowledge.

 [Signature of candidate]    [Date]

Referendum (Machinery Provisions) Act 1984