Application for a postal vote for Northern Territory elections

This form is used only for NORTHERN TERRITORY Legislative Assembly or local government (council) elections or by-elections.

Complete this form only if you are on the electoral roll for an address within the Northern Territory.

Required fields are marked with an asterisk (*).
Name and date of birth
Date of birth *
Contact details
Address to which postal voting papers are to be sent
Enrolled address
Is your address on the electoral roll the same as the above? *
Further information

Note: After you click submit you will not be able to edit this application.