Registration as an Antarctic elector

If you have trouble completing this form, you can contact the AEC.

All fields are mandatory unless marked optional

My details

Title - optional

Given name(s)

Family name

Date of birth

Gender

Phone number - optional

Current residential address

This is the address you are currently enrolled at in Australia. Clearly identify this address. A locality or post office box number is not enough.

Address

Suburb/locality

State

Postcode

Current postal address

Postal address line 1 - optional

Postal address line 2 - optional

Signature equivalent

Please provide one of the following forms of identity in place of signature.

The name you provided above must be exactly as it appears on your identity document.

Australian Driver's Licence
Australian Passport
Medicare Card
Australian Citizenship Certificate

Evidence type

Travel dates

I expect to be in Antarctica:

Date of departure

Date of return

Who has access to your electoral information?

The Commonwealth

The Australian Electoral Commission is authorised under the Commonwealth Electoral Act 1918 to collect the information you have been asked to complete on this form. The information provided will assist the Australian Electoral Commission to maintain electoral rolls. The Australian Electoral Commission may disclose electoral information to persons or organisations in accordance with the Commonwealth Electoral Act 1918. This may include:

access to the publicly available electoral roll (containing names and addresses) which may be inspected at electoral offices.
State and Territory electoral authorities.
Members of Parliament, Senators, registered political parties, and candidates for the House of Representatives.
approved medical research and public health screening programs.
any agencies, persons or organisations prescribed in the Electoral and Referendum Regulation 2016.

For more information on privacy, visit our privacy page or for further assistance please contact the AEC.

Your state or territory

Need more help?

For further assistance please contact the AEC.