Government of Western Australia
Department of Transport
E13
Photo Kit
Last updated: 22.02.2018
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Please sign here
(within dotted area)
• •
Please note:
This signature will also be used on your licence card.
Please make sure you sign within the dotted area to avoid any delays with mailing the card.
Applicant’s Signature
APPLICANT DETAILS
FAMILY NAME
OTHER NAME/S
DRIVER’S LICENCE NUMBER
FAMILY NAME
OTHER NAME/S
I,
OCCUPATION
WITNESS SIGNATURE
certify that I have sighted original proof of identity documents as required
and that the attached photograph is a true image of the applicant whose
details are listed on this form.
I make this solemn declaration by virtue of the Oaths, Afdavits and Statutory
Declarations Act 2005 and I am aware that making a false declaration is an
offence punishable by imprisonment under the Criminal Code 1913.
Please see ‘Description of Authorised Witness’ section overleaf for
who can witness a Statutory declaration.
DATE OF BIRTH
DATE OF BIRTH
CONTACT TELEPHONE NUMBER
(include all area codes)
PRIMARY IDENTIFICATION SIGHTED
SECONDARY IDENTIFICATION SIGHTED
Please indicate why you are unable to attend a DVS centre or agent
temporarily living overseas
temporarily living or travelling interstate
living in a remote area within Western Australia
have medical condition that makes it difcult to attend a photographic site
EMAIL
ADDRESS
Attach photographs in
this space or to the top
of the form
PLEASE DO NOT GLUE
WITNESS DETAILS
Your credit card details will be securely destroyed once your payment has been processed * Required elds
CARDHOLDER NAME *
CARD NUMBER * CREDIT CARD
TYPE
EXPIRATION DATE
I authorise the Department of Transport to charge my credit card in the amount of: $
(please refer to www.transport.wa.gov.au/dvs for current fees)
PRINTED NAME SIGNATURE DATE
RENEWAL PERIOD
Visa Mastercard
CREDIT CARD AUTHORISATION (IF REQUIRED)
SEE IMPORTANT INFORMATION ON THE BACK OF THIS FORM FOR INFORMATION ABOUT WHO CAN COMPLETE A PHOTO KIT
1 Year 5 Years
/ /
/ /
W A
SUBURB
RESIDENTIAL ADDRESS
STATE
POST CODE
SUBURB
POSTAL ADDRESS (IF DIFFERENT TO RESIDENTIAL)
STATE
POST CODE
SUBURB
RESIDENTIAL ADDRESS
STATE
POST CODE
You will need to supply two current colour passport quality (45mm x 35mm)
photographs of yourself on matte photographic paper, taken against a
PLAIN WHITE background.
IMPORTANT: Please attach your photographs to this form, ensuring they do
not get scratched or damaged in any way.
To ensure your photographs meets quality standards, they must:
Show the head and top of shoulders close up, so that the face is displayed
from the bottom of the chin to the crown (i.e. top if head without hair).
Show a full frontal view of the face and shoulders square on (not looking over
shoulder, with the edges of the face visible).
Show the person looking directly at the camera (not tilted head).
Be taken with a neutral expression and the mouth closed (not smiling,
laughing or frowning).
Show the eyes open and clearly visible.
The eyes must not be covered by hair, or by glasses frames or tinted lenses.
Sunglasses must be removed if they are sitting on the top of the head and
photographs showing a reection of a camera ash or other light will be
rejected.
Head coverings may not be worn unless for religious or health reasons.
(Veils covering the face are not acceptable).
It is important when submitting your Photo Kit that your photographs are not
creased or damaged.
You must write your name and date of birth on the back of one of the
photographs.
Your Authorised Witness must also sign the back of the photograph.
Please ensure that you and your Authorised Witness do not press too
hard when writing on the back of the photograph, to prevent the writing
on the back becoming visible on the front.
Ink from stamps used to certify your photograph must not be visible on the
front of the photograph.
IMPORTANT INFORMATION
Two forms of identication (Primary and Secondary) MUST be sight
ed
by the Authorised Witness and certied copies must be attached to the
application.
*Acceptable forms of Primary identication:
An Australian passport (which has not expired for more than two years).
A current Document of Identity issued by the Department of Foreign Affairs and Trade.
A current overseas passport.
An Australian citizenship or naturalisation document or immigration papers issued
by the Department of Immigration and Border Protection.
An original or certied copy of a birth certicate (not an extract).
A photo identity card for police or defence force personnel (excluding
civilian identity cards).
A consular photo identity card issued by the Department of Foreign Affairs
and Trade.
A photographic licence issued by an Australian driver licensing authority
(which has not expired for more than two years).
A Western Australian Proof of Age card (not an 18+ card).
*Acceptable forms of Secondary identication:
Medicare Card.
A current Australian EFTPOS or Credit Card.
An Australian bank statement or letter (less than six months old).
An Australian utilities account or notice (for example gas, water, electricity or
phone bill) that is less than six months old.
A conrmation of electoral enrolment letter issued by the Australian Electoral
Commission (less than two years old).
An ofcial document or letter from a Government Agency with current
residential address (for example the Australian Taxation Ofce, Centrelink
or Medicare) that is less than six months old.
School reports (less than six months old) issued by a secondary school in WA.
A letter from an educational institution advising of customers’ current
residential address (less than six months old).
*Subject to variation.
A full list of acceptable identication documents are
available online at www.transport.wa.gov.au/licensing
.
PROOF OF IDENTITY
An ‘Authorised Witness’ must must qualify or be currently employed in
one of the following professional or occupational groups:
Academic (post-secondary Local Government Councillor
institution) Loss Adjuster
Accountant Marriage Celebrant
Architect Member of Parliament (State or
Australian Consular Ofcer Commonwealth)
Australian Diplomatic Ofcer Minister of Religion
Bailiff Nurse
Bank Manager Optometrist
Chartered Secretary Patent Attorney
Chemist Physiotherapist
Chiropractor Podiatrist
Company Auditor or Liquidator Police Ofcer
Court Ofcer (Judge, Magistrate, Post Ofcer Manager
Registrar or Clerk) Psychologist
Defence Force ofcer Public Notary
(Commissioned, Warrant or NCO Public Servant (State or
with 5 years continuous service) Commonwealth)
Dentist Real Estate Agent
Doctor Settlement Agent
Engineer Sheriff or Deputy Sheriff
Industrial Organisation Secretary Surveyor
Insurance Broker Teacher
Justice of the Peace Tribunal Ofcer
Lawyer Veterinary Surgeon
Local Government CEO or Deputy
CEO
Or any person before whom, under the Statutory Declarations Act 1959 of
the Commonwealth, a statutory declaration may be made.
A photo kit can be completed by a person renewing a licence or obtaining a
replacement licence who is:
temporarily living or travelling interstate or overseas;
has a medical condition that would make it difcult to attend a photographic
licensing site; or
is living in a remote area within Western Australia.
You need to provide two current colour passport photos - requirements
for photo image are on the reverse of this form. Print your name and
date of birth on the back of one of the photos for witnessing.
Take this form, passport photo and identication documents to be witnessed.
The witness must:
sight your proof of identity (see ‘Proof of Identity’ on the back of this form)
and certify copies to accompany this form.
complete the witness details below and sign this form and the back of the
photo to be witnessed.
Cheques and money orders must be made payable to Department of
Transport and MUST be in Australian dollars. Payment must be received
before the application will be processed.
Insufficient credit card details or declined credit card payments will
cause your application to be rejected.
The photo kit, renewal form (if applicable), certied copies of proof of
identity (Primary and Secondary) and fee must be posted to:
Department of Transport, GPO Box R1290, PERTH WA 6844.
More information is available: online at www.transport.wa.gov.au/licensing, by
calling Department of Transport on 13 11 56, by calling +61 8 9215 1204 from
outside Australia and by email to contact.centre@transport.wa.gov.au
Your personal driver’s licence information, photograph, and vehicle licence
information may be used, or disclosed to a third party, where authorised
under ‘road law’ (as dened in the Road Trafc (Administration) Act 2008),
or Commonwealth law or in compliance with a Court Order issued within
Australia. Your personal details may also be disclosed to other driver
licensing authorities to assess your application or verify any information you
have provided.
REQUIREMENTS FOR PHOTO IMAGE
DESCRIPTION OF AUTHORISED WITNESS
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