Nomination for Mayor or
Councillor
For Candidates Endorsed by a Registered
Political Party
|
Schedule of Information for |
ADRIAN JURGEN SCHRINNER
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Name of financial institution (not to be published) |
BSB (not to be published) | Account number (not to be published) | Account name (not to be published) |
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I have successfully completed the mandatory training required by s26(2) of the Local Government Electoral Act 2011 in the last 6 months. |
The Unique ID number I received at the conclusion of the training is |
114817882
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Nomination for Mayor or
Councillor
For Candidates Endorsed by a Registered
Political Party
|
Name of party/organisation | Address of party/organisation | Date of membership | Date membership ceased (if applicable) |
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Liberal National Party of Queensland | 281 Sandgate Road, Albion QLD 4010 | 19/06/1998 | |
I have not been a member of any registered political party or trade or professional organisation at any time over the past 12 months, nor am I currently such a member. |
Nature of arrangement | Size of arrangement (i.e. medium-sized or large-sized) |
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Name of close associate & nature of relationship with candidate | Address of close associate (not to be published) | Nature of arrangement | Size of arrangement (i.e. medium-sized or large-sized) |
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I have not been a party to any contractual arrangement with the council (for which I am nominating) at any time in the past 12 months, nor am I currently a party to such an arrangement. I also confirm that my close associates are not and have not been a party to any contractual arrangement with the council at any time in the past 12 months. |
Nomination for Mayor or
Councillor
For Candidates Endorsed by a Registered
Political Party
|
Nature of process |
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Name of close associate & nature of relationship with candidate | Address of close associate (not to be published) | Nature of process |
---|---|---|
I have not been a party to any contractual process with the council (for which I am nominating) at any time over the past 12 months, nor am I currently a party to such a process. I also confirm that my close associates are not and have not been a party to any contractual process with the council at any time in the past 12 months. |
Nature of applications or representations |
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Nomination for Mayor or
Councillor
For Candidates Endorsed by a Registered
Political Party
|
Name of close associate & nature of relationship with candidate | Address of close associate (not to be published) | Nature of applications or representations |
---|---|---|
I am not currently a party to any outstanding applications or representations which were not decided before this nomination is made. I also confirm that my close associates are not parties to any outstanding applications or representations which were not decided before this nomination is made. |
I, |
ADRIAN JURGEN SCHRINNER
|
(the candidate) |
Signature of candidate | Date |
(dd/mm/yyyy)
|
Nomination for Mayor or
Councillor
For Candidates Endorsed by a Registered
Political Party
|
Title |
MR
|
Family name |
SCHRINNER
|
Given name |
ADRIAN JURGEN
|
Other names | Date of birth |
|
Gender |
Male
|
Occupation |
LORD MAYOR OF BRISBANE
|
Enrolled address | |
Postal address (if different) |
Name to appear on ballot paper |
Adrian SCHRINNER
|
Contact information will be published on the Commission's website. If you do not wish some or all of the contact details to appear on the web, please indicate by ticking the "No" boxes. |
Family name |
SCHRINNER
|
Given name |
ADRIAN JURGEN
|
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Postal address |
PO BOX 940, SPRING HILL, QLD 4004
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Email address |
Nomination for Mayor or
Councillor
For Candidates Endorsed by a Registered
Political Party
|
I, |
ADRIAN JURGEN SCHRINNER
|
, the candidate in the nomination, |
hereby state that I am the candidate endorsed by the |
LNP
|
for the Local Government Area / Division / Ward of |
Brisbane City
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1. |
I am enrolled on the electoral roll for an address within the Local Government Area |
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2. |
I am an Australian Citizen (please tick one box only and complete appropriate details):
(dd/mm/yyyy)
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3. |
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4. | I have completed and signed the attached Schedule of Information |
Signature of candidate | Date |
(dd/mm/yyyy)
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