Document ID: chunk:federal_register_of_legislation:F2024C00766:schedule:3:p1
Version: federal_register_of_legislation:F2024C00766
Segment Type: schedule
Provision Reference: sch 3 (pt 1/4)
Character Range: 287643–290812

Schedule 3—Forms

Form 1—Certificate of registration
(regulation 30)

Fair Work (Registered Organisations) Act 2009, subsection 26(4)

CERTIFICATE OF REGISTRATION OF AN ASSOCIATION AS AN ORGANISATION

I,                                                                               , the General Manager, under subsection 26(4) of the Fair Work (Registered Organisations) Act 2009, certify that on (insert date of registration) an association of *employers/ *employees called (insert name of association) was registered as an organisation under subsection 26(1) of the Act.

The eligibility rules of the association are as follows:
     (insert relevant rules)

  Dated                                20    .

..........................................
 General Manager
*Omit if inapplicable.

Form 2—Application for ballot under Part 3 of Chapter 3

(paragraph 82(a))

Fair Work (Registered Organisations) Act 2009, subsection 94(4)

APPLICATION FOR BALLOT UNDER PART 3 OF CHAPTER 3

TO:  THE FAIR WORK COMMISSION

I/We, (full name(s) of applicant(s)), the applicant(s) listed in the schedule to this application,*:

   (a) apply for a ballot to be held to decide whether (name of constituent part of amalgamated organisation) should withdraw from (name of amalgamated organisation); and
   (b) nominate (name), of (address) as the representative constituent member for the purposes of the ballot.

*Omit if inapplicable.

PARTICULARS
   1. Details of the eligibility of the applicant(s) to make the application in accordance with subsection 94(3) of the Act.
   2. The date of the amalgamation as a result of which the constituent part became part of the amalgamated organisation.
   3. A statement that neither of the events in subsection 94(2) of the Act has occurred.
   4. Each question proposed to be put to the ballot.
   5. Any other information that the applicant wishes the FWC to have regard to.

            Note: Section 95 of the Act requires this application to be accompanied by a fair and accurate written outline of the proposal to withdraw from the amalgamation.

Dated                                20    .
................................................
Signature of applicant(s)

Form 3—Ballot paper under Part 3 of Chapter 3

(regulation 90A)

Fair Work (Registered Organisations) Act 2009, section 102

BALLOT OF MEMBERS OF
(Name of constituent part of organisation)

BALLOT PAPER IN RESPECT OF PROPOSED WITHDRAWAL FROM AMALGAMATED ORGANISATION  (Initials, or facsimile of initials, of the person conducting the ballot)

CLOSING DATE OF BALLOT:  (Date)

   Directions to Voter

   1. Record your vote on the ballot paper as follows:
      if you approve the withdrawal of the constituent part from the amalgamated organisation referred to in the question set out below, write "YES" in the space provided opposite the question;
      if you do not approve the withdrawal of the constituent part from the amalgamated organisation referred to in the question set out below, write "NO" in the space provide opposite the question.

   2. Do not place on this paper any mark or writing by which you may be identified.

    QUESTION FOR