Application for a

Keypass identity card

Warning: It is a criminal offence to provide misleading X A replacement card because yours has expired.
or false information. Individuals who provide You must provide your existing Keypass identity card
false or misleading information may be subject to (this will be kept by Australia Post as part of your
prosecution under Commonwealth law. Please note application). To replace your expired card, you only
once the application is lodged and payment made the need to complete sections 2, 3 and 8 of this form.
application fee will not be refunded.

A replacement card because your name and / or

A photocopy of all documents will be taken. The details on X address has changed.
these documents must match the details on this form. Your card must not be expired.
You must provide your existing Keypass identity card
(this will be kept by Australia Post as part of your
Please complete this form in black ink. application). For change of details, you only need to
complete sections 2, 3 and 8 of this form.
Change of name
If your name has changed you must provide a change of
How would you like your Keypass sent to you? name document from Category D in section 4.
X Regular Post X Express Post* Change of address
You must provide a document from Category B or C in
*The Express Post service is available to customers who apply for a new or
section 4 with your current residential address to verify
replacement Keypass identity card - additional fees apply. Cards will be sent by
Express Post once the application is approved. For next business day delivery your change of address.
within the Express Post network, refer to [Link] No further proof of identity documents are required
apart from the document proving your change of
name and / or address.
Go to section 2
1. What type of Keypass card are you applying for?

X A new card X Under - 18 card

▲

Over - 18 card (minimum age 2. Applicant’s personal details

X of 17 years and 11 months to Family name / surname
apply)

For a new Keypass card you can choose to apply from Given name(s) (full name(s) no initials)
two options.

1. Present a combination of identity documents from Gender

section 4 (combination of documents must include a X Male X Female X Other
photograph and your current residential address);
Date of birth (DD/MM/YYYY)
OR
D DMM Y Y Y Y Other contact number
2. Have the Statutory Declaration completed and a
Preferred contact number (if applicable)
photo endorsed.

Both options require you to prove your age using one of Email address
the original documents from Category A in
section 4. You must bring this document with you when
you attend Australia Post.
Go to section 3
Change of name
If your name has changed you must provide a change
of name document from Category D in section 4. 3. Applicant’s current residential address
(A change of name document is required along with Unit number Street number
a proof of age document when applying for a new
Keypass card).
Street name

Suburb

State Postcode

Go to section 4

Page 1 of 4
4. For a new card you must provide a minimum of 5. Does your combination of identity documents
3 original documents. The combination must contain at least one photo and your current
total 100 points and consist of: residential address?
• 1 x Category A X Yes Go to section 8

▲ ▲
• 1 x Category B
If your combination of identity documents
• An additional document from either Category X No
does not contain a photo and current
A or B
• If no identity document from Category A or B shows residential address. Go to section 6
your current residential address, an additional
document from Category C must also be provided
• If any of the documents do not match the name on the 6. Statutory declaration
application form, a proof of name change document Warning: making a false statutory declaration is an
from Category D must also be provided. offence and may result in prosecution.
The person making the statutory declaration must:
All documents must be current unless specified otherwise.
X be over 18;
Category A (at least one) Points
have known you, the applicant, for at least 12
X months and must know you well;
• Australian birth certificate (not an extract) 40
• Australian passport (may be expired up to 40 endorse a photo (which you must provide as proof
two years) X of identity). This photo should meet passport
• Australian citizenship certificate 40 requirements. The declarant must endorse the back
• Foreign birth certificate (if not in English, 40 of the photo with “This is a true photo of (insert
with a translation by a NAATI accredited
your name)” and sign the back of the photo;
translator)
• Foreign passport (if not in English, with a 40 X complete the statutory declaration in section 7;
translation by a NAATI accredited translator)
be contactable by telephone during normal
Category B (at least one) X business working hours;
• Australian driver licence / learner permit 30 ensure the witness of the statutory declaration is
• Immicard issued by the Department of 30 X someone from the witness list below; and
Immigration and Border Protection
30 ensure the witness of the statutory declaration has
• Student identity card from a recognised X completed the witness section on the form.
Australian educational institution
• A letter from a recognised Australian 30
If you cannot provide a completed statutory
educational institution (must be on
declaration or provide the required combination
letterhead, no older than 12 months) including
your name, address and states you attend of documents as outlined in section 4, you are not
their institution eligible to apply for a new Keypass identity card.
• Medicare card 30
• Notice of Assessment for income tax (no older 30 Witness list
than 12 months) • Justice of the Peace
• Centrelink benefit card 30 • Member of the State Police Force
• Department of Veterans’ Affairs (DVA) card 30 • Chiropractor
• Australian Defence Force photo ID 30 • Dentist
• Private health insurance membership card 30 • Legal practitioner
• Electoral enrolment letter or card 30 • Medical practitioner
Category C (may only be used to verify your • Optometrist
current residential address) • Patent attorney
• Pharmacist
• Motor vehicle registration (no older than 12 10 • Physiotherapist
months) • Psychologist
• Utility notice (no older than 3 months) 10 • Trade marks attorney
• Council rates notice (no older than 12 months) 10 • Veterinary surgeon
• Telecommunications bill (no older than 3 10 • Commissioner for declarations
months) • Fellow member of the National Tax and Accountants’
• Rental agreement (no older than 12 months) 10 Association Ltd
• Bank statement (no older than 6 months) 10 • Members of the institute of Chartered Accountants
and The Australian Society of Certified Practicing
Category D (may only be used to verify your Accountant or Institute of Public Accountants.
change of name)
• Deed poll
• Marriage certificate (Australian) Note 1: A person who intentionally makes a false
• Foreign marriage certificate (if not in English, statement in a statutory declaration is guilty
with a translation by a NAATI accredited of an offence, the punishment for which is
translator) imprisonment for a term of 4 years - see section
• Change of name certificate 11 of the Statutory Declarations Act 1959.
• Divorce papers (Australian)
• Foreign divorce papers (if not in English, Note 2: Chapter 2 of the Criminal Code applies to all
with a translation by a NAATI accredited offences against the Statutory Declarations
translator) Act 1959 - see section 5A of the Statutory
Declarations Act 1959.
Go to section 5
Go to section 7 Page 2 of 4
Statutory declaration
7. Please use black ink and print within the boxes in block letters.
Family name / surname
The declarant must I,
endorse the back of Given name(s) (full name(s) no initials)
the photo with ,
“This is a true photo Unit number / street number / street name
of (insert name of
of
applicant)” and sign
Suburb / locality State Postcode
the back of the photo.
,
Occupation ,
Contact number ,
Australia Post to
make the following declaration under the Statutory Declarations Act 1959.
attach endorsed
photo face down Family name / surname of applicant
here. 1. I have
known
Given name(s) (full name(s) no initials) of applicant

Applicants unit number / street number / street name

of
Suburb / locality State Postcode
,
whose date of birth is , for years months.
(state relationship to applicant)
2. I am the applicant’s

3. I have endorsed a photo of the applicant by signing the back of the photo of him / her with “This
is a true photo of (insert name of applicant)”.
I understand that a person who intentionally makes a false statement in a statutory declaration
is guilty of an offence under section 11 of the Statutory Declarations Act 1959, and I believe that
the statements in this declaration are true in every particular.
Signature

Witness list
• Justice of the Peace The person witnessing the declaration must complete the section below (must be from the
• Member of the State witness list on the left).
Police Force Unit number / street number / street name
• Chiropractor
• Dentist Declared at
• Legal practitioner Suburb / locality State Postcode
• Medical practitioner
• Optometrist
• Patent attorney On year
date month
• Pharmacist
• Physiotherapist Signature of witness
• Psychologist
• Trade marks attorney
• Veterinary surgeon Before me Phone number of witness
• Commissioner for
declarations
• Fellow member of Family name / surname of witness
the National Tax and
Accountants’
Association Ltd Given name(s) (full name(s) no initials) of witness
• Members of the
institute of Chartered
Witnesses work address unit number / street number / street name
Accountants
and The Australian
Society of Certified Suburb / locality State Postcode
Practicing
Accountant or Institute
of Public Accountants.
Witnesses qualification Page 3 of 4
8. Privacy notice 9. How to lodge your completed application form.
Australia Post collects your personal information in order
a. Where to lodge your application form
to process your application, including the verification of
your identity. Without this information Australia Post will You need to lodge your application at a participating Post
be unable to produce your Keypass identity card. Whilst Office. To locate the outlet closest to you go to
in our possession, your personal information is handled [Link]/pol or call 13 POST (13 76 78).
in accordance with Australia Post’s Privacy Policy which b. What to bring to the Post Office
outlines how to access and / or correct your personal • Completed application form.
information or make a privacy related complaint. You may • Your original identity documents (to prove your age, your
contact the Privacy Contact Officer, Australia Post, GPO Box
identity, completed statutory declaration (if applicable)
1777, Melbourne, Vic, 3001 for privacy related queries. For
more information please visit [Link]/privacy. and / or your change of details).
• Endorsed photo if statutory declaration is completed.
Marketing opt-in • A fee will be required when lodging the application and
Australia Post can send you information relating to includes discount rate for customers over 60 years of age.
products and services offered by Australia Post or other
businesses. As part of providing this service, Australia Post c. What happens when I lodge my application?
will not send your personal information to other businesses. • Australia Post will verify your details, copy your original
documents, take a new photo for your card, and issue
I would like to receive information on products and
X services offered by Australia Post or other businesses.
you with a receipt (please keep this receipt until you have
received your card).
Identity verification opt-in • A secondary check will also be performed after your
Australia Post offers a variety of identity verification services. application is lodged to confirm your details.
These services are designed to make it easier for you to • If your application is successful, you’ll receive your
transact with Australia Post and other businesses that use Keypass identity card in the mail within 10 working days
these services. In the future, we may - with your consent – be (Regular Post) or 5 working days (Express Post) of your
able to re-use* this information to save you time on ID checks interview.
for other products and services. Your details would not be • If your application is unsuccessful you will receive a letter
re-used for any other purpose. in the mail stating the reason.
Yes, I consent to Australia Post re-using my details to
X help verify my identity in the future. Do not sign section 10 (below) until you are at the Post
* Re-use is limited to subscribed providers and subject to the credentials used
Office counter.
for the ID verification still being valid, for example: drivers licence expiry or
change of address.

Go to section 9

10. Declaration by applicant Secure photo face up

Do not sign this form in advance.
PASSPORT
Your signature must be witnessed by the Australia Post verifier.

Max 36mm
Declaration

Min 32mm
QUALITY
I declare that the information in this application Photo to be attached
form is true and correct. by Australia Post PHOTO

officer only

Please sign in black ink

inside the box in the Date
presence of an Australia
Post verifier D D MM Y Y

Australia Post use only

I, the Verifier listed below, hereby certify that;

1. This application relates to the person listed in section 2.
2. The identity verification was carried out on the date shown below.
3. The identification documents recorded in the Point of Sale system were produced to me and appear to be originals.
4. The person being identified appears to have similar facial characteristics as the person in the provided photo.
5. I witnessed the applicant sign this application form.
6. The identity verification has been conducted in accordance with standard procedures.
Keypass POI AML V4.10 27/04/2015

Verifier’s signature Verifier’s name

Comments Date
D D MM Y Y
Work centre code

Page 4 of 4