Dickson Residents…

Complete the form below to pre-register for a postal vote application.

NB Completing this form does not mean you have submitted a postal vote in the election. Please look out for the official application form when we deliver it to you in April 2019.

Postal Vote Application

Will you require a postal vote at the 2019 Federal Election?*
- Yes, I require a Postal Vote Application Form for the 2019 Federal Election
- No, I do not require a postal vote.
You may be eligible to receive a postal vote.
For more information please visit https://www.aec.gov.au/Enrolling_to_vote/special_category/General_postal_voters.htm
Are you a resident of the Federal Electorate of Dickson?*
- Yes, I am a resident of the Federal Electorate of Dickson. Go to next field.
- No, I am not a resident of Dickson. (DO NOT CONTINUE).
This form is for Dickson residents only. If you do not live in the Federal Electorate of Dickson, we will be unable to process your request.
You can check your voting enrolment at https://check.aec.gov.au/
Name*
First Last Suffix
ENROLLED ADDRESS*
Street Address Address Line 2 Suburb State Postcode
DAYTIME CONTACT - Phone*
Mobile
Email*
REASON FOR POSTAL VOTE*
Travel Dates - In Australia*
Sso we can email/mail information. If you are not travelling write N/A
Travel Dates - International*
So we can email/mail information. If you are not travelling write N/A.
Travel Address (to send postal vote application form)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

This is the address where the the application form that allows you to vote will be sent whilst you are travelling.
Comments, if any

PRE-REGISTER FOR A POSTAL VOTE APPLICATION

Dickson Residents…

Postal Vote Application