Western Australian Current Regulations

MEMBERS OF PARLIAMENT (FINANCIAL INTERESTS) REGULATIONS 1992 - SCHEDULE

[reg. 3]

Form 1

PRIMARY RETURN

Disclosure of financial interests of ..................................................... MLA/MLC         (full name of member)

as at ............................................ 20 .

1. INTERESTS IN REAL PROPERTY (section 6)

Address	Nature of interest

2. SOURCES OF INCOME (section 7)

(a) income from trade, profession or vocation

Description of trade, profession or vocation	Name and address of employer or description of the office held	Partnership name, if applicable

(b) income from a trust

Name and address of settlor	Name and address of trustee

(c) other income
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3. INTERESTS IN TRUSTS (section 8)

Name and address of settlor	Name and address of trustee

4. MEMBERSHIP OF AND INTERESTS AND POSITIONS IN CORPORATIONS (section 11)

Name and address of corporation	Nature of interest or position held	Principal business if unlisted corporation

5. POSITIONS IN TRADE UNIONS AND PROFESSIONAL OR BUSINESS ASSOCIATIONS (section 12)

Name of union or association	Position held

6. DEBTS FOR WHICH LIABLE (section 13)

Name of lender	Address of lender

7. DISCRETIONARY DISCLOSURES (section 15)
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        (Signature of Member)         (Date)

Form 2

ANNUAL RETURN

Disclosure of financial interests of ..................................................... MLA/MLC         (full name of member)
for the return period from ........................................................ to 30 June 20 .

1. INTERESTS IN REAL PROPERTY (section 6)

Address	Nature of interest

2. SOURCES OF INCOME (section 7)

(a) income from trade, profession or vocation

Description of trade, profession or vocation	Name and address of employer or description of the office held	Partnership name if applicable

(b) income from a trust

Name and address of settlor	Name and address of trustee

(c) other income
.................................................................................................................................
.................................................................................................................................

3. INTERESTS IN TRUSTS (section 8)

Name and address of settlor	Name and address of trustee

4. GIFTS RECEIVED (section 9)

Description of gift	Name and address of giver

5. CONTRIBUTIONS TO TRAVEL UNDERTAKEN (section 10)

Name of contributor	Address of contributor

6. MEMBERSHIP OF AND INTERESTS AND POSITIONS IN CORPORATIONS (section 11)

Name and address of corporation	Nature of interest or position held	Principal business if unlisted corporation

7. POSITIONS IN TRADE UNIONS AND PROFESSIONAL OR BUSINESS ASSOCIATIONS (section 12)

Name of union or association	Position held

8. DEBTS FOR WHICH LIABLE (section 13)

Name of lender	Address of lender

9. DISPOSITIONS OF REAL PROPERTY where benefit or interest retained by member (section 14(1))
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10. DISPOSITIONS OF PROPERTY under arrangements by member for his/her benefit (section 14(2))
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11. DISCRETIONARY DISCLOSURES (section 15)
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.................................................................................................................................
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...................................................................................         ....................................
        (Signature of Member)         (Date)