1. Step 1 Begin
  2. Step 2 Dependants
  3. Complete Print and post
Step 1

Your Details

Step 1 of 2

Your Details

Title
Choose a title from the options
Please provide your preferred title (Maximum 3 characters).
Your given names are required (Maximum 28 characters)
Your surname is required (Maximum 28 characters)
Date of Birth
Your birthdate is required
Your street address is required
Your suburb/town is required (Maximum 19 characters).
Required
4 digits required
Do you have a different postal address
Please choose one of the available options

Postal Address

Street address is required (Max 28 characters)
Your suburb/town is required (Max 28 characters)
Required
Required (Should be four digit)
Please use 10-digit format, no spaces, eg 0290009999
Please use 10-digit format, no spaces, eg 0490009999
A valid email is required
Your member number is required
10 or more digits in your member number? Simply enter the final 9 numbers above.

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