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go apc NOMINATION REVIEW COMMITTEE Name of candidate: Electorat Date of interview: Present: Explain history ofthis Committee and the fact that State Council decided in 1997 to establish this Committee Explain composition of the Committee Explain purpose of the Committee (probity check) as per the Constitution (NSW Division) - “To interview and otherwise examine, according to the circumstances. all candidates and satisty itself that those candidates are fi and proper persons for presentation selection committee ‘+ thas nothing to do with the ment of any candidate for selection + Allproceedings must remain confidental * Weask the same questions of each candidate — it's not personal QUESTIONS Personal Do you have a criminal record or have you been charged with any offence? © Do you have a record of any traffic offences or have you ever lost your crivng licence? Have you ever been charged with drink driving? ‘Are there any proceedings pending of this nature? Have you ever been charged with assault? Have you ever charged anyone with assault? © Has anyone ever taken out an AVO against you? Have you been involved in any civil proceedings or are there any current circumstances that would {ive rise to you being involved in any civil proceedings? Have you ever accused anyone of sexual harassment? Has anyone ever accused you of sexual harassment? Has anyone alleged they have been harassed or stalked by you? Have you ever been the victim of harassing or stalking? Have you had any sexual encounters or relations, which if hey became public, would adversely impact on your candidature? Have you ever visited a sex shop or a premises involving male or female strippers. ‘Are you presently married or single? Have you been married previously? [Are there any issues in relation to your marriage (current or previous), family andlor personal relationships, that if they were to become public may have an adverse impact on your candidature? How would you describe your current state of health and wellbeing? Have you ever or do you currently suffer from any ailments of a physical or mental nature that may be perceived to either: = impede your ability o participate in the campaign: oF = serve as a Member of a Parliament for the full period of the next parliamentary term; and = which if they became public may adversely impact on your candidature? Have you ever received any treatment for such ailments or been admitted to any institution, public or private, for treatment? ‘Are you addicted to any legal or ilegal drugs? Have you ever had this problem or been referred for treatment of such addiction? Do you have a problem with alcohol? Have you ever had this problem or been referred for teatment ‘of such addiction? Have you. as an individual, been investigated by ICAC (the Independent Commission Against Corruption) or any other Commonwealth of State investigatory body (whether private or public.? Financial (Note: In this Section “yo Sharenoier ore You eludes any company in which you have a controling interest ether a ‘Are you up to date with your tax roturns? Do you have any debts which might embarrass you because of the nature Dovoutaa you because of the nature of the lender (eg Have you ever been bankrupt? Have vou any reason to believe circumstances exis that may lead to your bankruptcy? Has anyone complained to the ACCC (the Australian Competiton and Consumer Commission) or ‘the NSW Department of Fair Trading about you? Corporate ‘What directorships do you hold? Include public companies, private companies and family trusts, not {or profit organisations and community groups. What directorships have you held in the past that you no longer hold? Have you ever been involved in a company that s insolvent, in receivership, inthe process of being ‘wound up or involved in any civ proceedings? Have you ever been involved in a company that has been investigated by ASIC (the Australian ‘Secunties & Investment Commission)? Have you, of the company, or other officers of the company ever been prosecuted under the Corporations Law? Financial (Note: In this Section Shareholder or Director)" USe8 am Ri ¥y Company in which you have a controlling interest as either a ‘Are you up to date with your tax retums? Do you owe the Australian Tax Office any money? Do you have Gamblingy? 'Y Gebts which might embarrass you because ofthe nature ofthe ender (eg Do you have any debts which you may have difficulty servicing? Has anyone had cause to write off debts that you owe? Have you ever been bankrupt? Have you any reason to believe circumstances exist that may lead to your bankruptcy? Has anyone complained to the ACCC (the Australian Competition and Consumer Commission) or the NSW Department of Fair Trading about you? Corporate ‘What directorships do you hold? Include public companies, private companies and family trusts, not {for profit organisations and community groups. Has anyone complained to the ACCC (the Australian Competition and Consumer Commission) or the NSW Department of Fair Trading about you? Corporate © What directorships do you hold? Include public companies, private companies and family trusts, not for profit organisations and community groups. What directorships have you held in the past that you no longer hold? © Have you ever been involved in a company that is insolvent, in receivership, in the process of being wound up or involved in any civil proceedings? © Have you ever been involved in a company that has been investigated by ASIC (the Australian Securities & Investment Commission)? © Have you, or the company, or other officers of the company ever been prosecuted under the Corporations Law? © Has the company ever been subjected to complaints to the ACCC (the Australian Competition and Consumer Commission) or the NSW Department of Fair Trading? © Have you ever been involved in any unfair dismissal cases as either an employer or employee? Political ‘© Have you ever been a member of another political party? © Have you ever donated financially, or in a non-financial way (eg goods or services) or worked for another political party? © Have you ever donated financially, or in a non-financial way (eg goods or services) or worked for a candidate against an endorsed Liberal candidate? o Have you ever:- = sent any letters to an editor; - written any journals or books; - made oral statements that would be on the public record; = sent emails or written posts on the internet (including social networking sites/platforms) that are: Political > Have you ever been a member of anther political party? © Have you ever donated financially, or in a non-financial way (eg goods or services) or worked for another political party? © Have you ever donated financially, or in a non-financial way (eg goods or services) or worked for a candidate against an endorsed Liberal candidate? © Have you ever:- = sent any letters to an editor; = written any journals or books; = made oral statements that would be on the public record: = sent emails or writen posts on the internet (including social networking sites/platforms) that are: ntact ara Pa polis State or Federal) ' > of an extreme nature (use the Rocky Gattelari example - Labor opponent sought an apprehended violence order against Mr Gattellari when he used colourful language '0 describe his intention to defeat her); + tical ofthe internal processes of the Liberal Party: + critical of any Liberal Member of Parliament, Councillor or Candidate; } ~ critical of any Members of the Liberal Party generally? Councillors © How was your last campaign funded? Were all donations both financial and non-financial (eg goods { ‘and/or services) disclosed? | © Did you assist any other non Liberal Party candidate with their campaign either financially or non- financially ( eg goods or services)? © If there was a distribution of preferences, how were your preferences distributed? © Have you been involved in any controversial issues that will become part of the campaign should you become the candidate? © Have you been involved in any issues where you felt it necessary to take a stance contrary to Liberal Party policy? For sitting Councillors and previous Members of Parliament seeking pre-selection for Council ‘What issues were raised by your opponents in previous campaigns? Have you ever donated financially, or in a non-financial way (eg goods or services) or worked for a candidate against an endorsed Liberal candidate? © Have you ever:- sent any letters to an editor; written any journals or books; made oral statements that would be on the public record; - sent emails or written posts on the internet (including social networking sites/platforms) that are: critical of any current Liberal Party policies (State or Federal); of an extreme nature (use the Rocky Gattellari example — Labor opponent sought an apprehended violence order against Mr Gattellari when he used colourful language to describe his intention to defeat her); critical of the internal processes of the Liberal Party; critical of any Liberal Member of Parliament, Councillor or Candidate, critical of any Members of the Liberal Party generally? Councillors ° How was your last campaign funded? Were all donations both financial and non-financial (eg good and/or services) disclosed? General © Are you enrolled on the electoral roll at your principal place of residence and what is the nature of that residence? © Is your address on the electoral roll the same address on your nomination form? Is this address also on your drivers licence? © Do you hold any citizenship, residency, passport or any other rights, entitlements or privileges for any other country and/or foreign power? © Do you hold any office of profit or receive any pension from the Crown or any of the revenues of the Commonwealth Is there anything else you wish to disclose?