Statutory declaration by
Party Secretary	
Statutory Declaration
•	This declaration is made under the Statutory Declarations Act 1959 (the Act) in the knowledge that a person who intentionally makes a false statement in a statutory declaration is guilty of an offence under the Act, the punishment for which is a term of imprisonment for 4 years (see section 11 of the Act) and that Chapter 2 of the Criminal Code applies to all offences under the Act.  
•	This statutory declaration is also made on the basis of the definition of secretary in section 123 of the Commonwealth Electoral Act 1918 (Electoral Act)
•	secretary, in relation to a political party, means the person who holds the office (however described) the duties of which involve responsibility for the carrying out of the administration, and for the conduct of the correspondence, of the party. 
	Title	Given names	Family name	Occupation
I,					
	Full address
of		
make the following declaration under the Statutory Declarations Act 1959.  
1.	I am the officer in the ………….....................................................................................(the Party) responsible for the day-to-day administration of the party and for the conduct of its correspondence, meeting the definition of secretary in s123 of the Electoral Act.   
2.	The copy of the constitution annexed to this declaration and marked “A” is a true copy of the current constitution of the Party.  
3.	The list of members annexed to this declaration and marked “B” is a list of at least 1,500 people currently on the Commonwealth Electoral Roll, who have applied for membership of the party and been accepted as members of the party in accordance with the terms of the constitution of the party.  
Signature of person making declaration		
Declared at ……………………….………………………..…… (suburb/town) 
on the ……………..…………. day of ………………………… (month),……….……..(year).  
Before me	
See over the page for a list of people qualified to witness a statutory declaration.  
Signature of person witnessing declaration		
Full name of witness
 -  printed 		
Full address of witness		
Qualification to witness this statutory declaration		

Extract from list of persons qualified to witness a statutory declaration
•	For the most up to date list of qualified witnesses, see www.ag.gov.au.
A statutory declaration under the Statutory Declarations Act 1959 may be made before–
(1)	a person who is currently licensed or registered under a law to practise in one of the following occupations:
Architect		Chiropractor		Dentist
Financial adviser	Financial Planner		Legal practitioner
Medical practitioner	Midwife			Migration agent registered under Division 3 of Part 3 of the Migration Act 1958
Nurse		Occupational therapist	Optometrist
Patent attorney	Pharmacist		Physiotherapist
Psychologist		Trade marks attorney	Veterinary surgeon

(2)	a person who is enrolled on the roll of the Supreme Court of a State or Territory, or the High Court of Australia, as a legal practitioner (however described); or
(3)	a person who is in the following list:
Accountant who is:
o	a fellow of the National Tax Accountants’ Association; or
o	a member of any of the following:
i.	Chartered Accountants Australia and New Zealand;
ii.	the Association of Taxation and Management Accountants;
iii.	CPA Australia;
iv.	the Institute of Public Accountants
Agent of the Australian Postal Corporation who is in charge of an office supplying postal services to the public
APS employee engaged on an ongoing basis with 5 or more years of continuous service who is not specified in another item in this list
Australian Consular Officer or Australian Diplomatic Officer (within the meaning of the Consular Fees Act 1955)
Bailiff
Bank officer with 5 or more continuous years of service
Building society officer with 5 or more years of continuous service
Chief executive officer of a Commonwealth court
Clerk of a court
Commissioner for Affidavits
Commissioner for Declarations
Credit union officer with 5 or more years of continuous service
Employee of a Commonwealth authority engaged on a permanent basis with 5 or more years of continuous service who is not specified in another
item in this list
Employee of the Australian Trade and Investment Commission who is:
(a)	in a country or place outside Australia; and
(b)	 authorised under paragraph 3 (d) of the Consular Fees Act 1955; and
(c)	exercising the employee’s function at that place
Employee of the Commonwealth who is:
(a)	at a place outside Australia; and
(b)	authorised under paragraph 3 (c) of the Consular Fees Act 1955; and
(c)	exercising the employee’s function at that place
Engineer who is:
(a)	a member of Engineers Australia, other than at the grade of student; or
(b)	a Registered Professional Engineer of Professionals Australia; or
(c)	registered as an engineer under a law of the Commonwealth, a State or Territory; or
(d)	registered on the National Engineering Register by Engineers Australia
Finance company officer with 5 or more years of continuous service

Holder of a statutory office not specified in another item in this list
Judge
Justice of the Peace
Magistrate
Marriage celebrant registered under Subdivision C of Division 1 of Part IV of the Marriage Act 1961
Master of a court
Member of the Australian Defence Force who is:
(a)	an officer
(b)	a non-commissioned officer within the meaning of the Defence Force Discipline Act 1982  with 5 or more years of continuous service
(c)	a warrant officer within the meaning of that Act
Member of the Australasian Institute of Mining and Metallurgy
Member of the Governance Institute of Australia Ltd
Member of:
(a)	the Parliament of the Commonwealth
(b)	the Parliament of a State
(c)	a Territory legislature
(d)	a local government authority
Minister of religion registered under Subdivision A of Division 1 of Part IV of the Marriage Act 1961
Notary public, including a notary public (however described) exercising functions at a place outside
(a)	the Commonwealth
(b)	the external Territories of the Commonwealth
Permanent employee of the Australian Postal Corporation with 5 or more years of continuous service who is employed in an office providing postal services to the public
Permanent employee of
a)	a State or Territory or a State or Territory authority
b)	a local government authority
with 5 or more years of continuous service, other than such an employee who is specified in another item of this list
Person before whom a statutory declaration may be made under the law of the State or Territory in which the declaration is made
Police officer
Registrar, or Deputy Registrar, of a court
Senior executive employee of a Commonwealth authority
Senior executive employee of a State or Territory
SES employee of the Commonwealth
Sheriff
Sheriff’s officer
Teacher employed on a permanent full-time or part-time basis at a school or tertiary education institution