Individual

Reporting a gift (donation) made

State

Your details

Name*

Address*

Reporting a Gift made to Registered Political Party

Recipient's Name *

Street*

Suburb*

State*

Postcode*

Gift Particulars

Description of Gift *

Amount*

Date made *

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

Yes

No

Passed on from*

Original amount*

Date made*

Street*

Suburb*

State*

Postcode*

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

Yes

No

Is this entity the source of the enabling gift? *

Yes

No

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 Gift is...

Name *

Street*

Suburb*

State*

Postcode*

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

$0.00

Current Total