Individual

Reporting a gift (donation) made

State

Your details

Name*

Address*

Reporting a Fundraising Contribution made to Registered Political Party

Recipient's Name *

Street*

Suburb*

State*

Postcode*

Fundraising Contribution Particulars

Description of Fundraising Contribution *

Amount*

Date contributed *

Did you receive a gift that enabled you to make all or part of this gift?*

Yes

Passed on from*

Original amount*

Date made*

Street*

Suburb*

State*

Postcode*

Is the entity an unincorporated association or a trust fund / foundation?*

Yes

Is this entity the source of the enabling gift? *

Yes

As the entity is not the source of the enabling gift you received, you need to disclose the below details about the source.

The source of the above Fundraising Contribution is...

Name *

Street*

Suburb*

State*

Postcode*

Names and residential or business addresses of the members of the executive committee of the association*

Is this amount a political donation? *

Yes

Was this amount received by or for an electoral committee for an electoral district? *

Yes

Which electoral district was the committee established for? *

$0.00

Current Total