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Address for correspondence
Divisional Returning Officer for
GOLDSTEIN
PO BOX 184
BRIGHTON VIC 3186





V0111-0121
JANE DOE CITIZEN
10 SEATTLE ST
BRIGHTON VIC 3186

      Australian Electoral Commission.   AEC
Division of GOLDSTEIN
SUITE 6
8 ST ANDREWS ST
BRIGHTON VIC 3186
Telephone 03 9593 1072

26 September 1996

Electoral Roll Review
Commonwealth Electoral Act 1918
Review Notice under Section 92

Your enrolled address is:

10 SEATTLE ST
BRIGHTON VIC 3186

Dear Elector

I am currently checking the Electoral Roll to see that people are correctly enrolled. I am writing to ask for your help. Please check the information in this letter, including your enrolled address above and make any changes needed. Electors are listed in order of date of birth (DOB).

Your residence may receive more than one letter if there are electors with different surnames residing at your address. If this happens make corrections as necessary, but record any additional names on only one of the letters. Please return all letters in the same envelope.

Please fold the letter so that the Return Address, on the back of this letter, shows in the window of the Reply-Paid envelope and return it to me by 10 October 1996.

Thank you for your co-operation.

Divisional Returning Officer

LIST OF ELECTORS ENROLLED AT YOUR ADDRESS. Please check the list below.
Surname or Family Name Given Name(s) (in DOB order) Notes Ref. No.
CITIZEN JOHN DOE   0111-0122
CITIZEN JANE DOE   0111-0121
CITIZEN JACK DOE   0111-0123
CITIZEN JUDY DOE   0111-0124
       
       
       
       
       
       
Is the list complete and correct? Tick one box please.

[   ] YES - Then skip to the 'sign and date' section below.

[   ] NO - Please check the following:

  • Are there people on the list who no longer live permanently at your enrolled address above? If there are, please cross their names off the list and advise us of their forwarding address if known.
  • Is the spelling of the names correct? If not, please make corrections so that we can update our records.
  • Do you need to add anyone to the list? please add the names of people who:
    • are 17 years of age or older; and
    • have lived at this address for at least the last month; and
    • are Australian citizens (or British subjects who were on a Commonwealth of Australia electoral roll on 25 January 1984).

    Note: Adding a name does not enrol that person. An enrolment form will be posted and must be completed. If adding the name of a 17 year old please note this and their date of birth in the 'Notes' section.

Please sign and date

    /     /1996

Please provide a daytime phone number if convenient.

Please turn to the back for further information and reply details

RR16 ECQMR1 9/96


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Office
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Date Received List Notated Gones Deaths Adds Other Notations
















Return Address
Divisional Returning Officer
Division of GOLDSTEIN
PO BOX 184
BRIGHTON VIC 3186
Please fold this letter where indicated and place in the Reply-Paid envelope provided. Please ensure that the Return Address shown at left appears in the window.