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Photo Kit for a NSW Licensee

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Photo Kit for a NSW Licensee Photo-kit for a NSW Licensee Temporarily Overseas Instructional Notes and Credit Card Authority Please note: Photograph Only ONE licence renewal is permitted while temporarily Include with this Photo-kit a recent, colour passport size residing outside of NSW, that is, consecutive renewals photograph of good quality. See 'Photo Requirements' for while overseas are not allowed. detailed photograph intructions. Failure to comply with You may use this Photo-kit to replace your licence. photograph requirements will result in your application being returned. Customers issued a Temporary Overseas Visitor (TOV) licence with a ‘Q’ condition can renew via photo kit application. If the customer obtains permanent residency Photograph Requirements status after the TOV licence was issued and would like the Your photograph must meet the following requirements. Failure ‘Q’ conditioned removed, the customer must attend a to comply with photograph requirements will result in your service centre or registry and provide acceptable evidence Photo-kit being returned. of permanent residency status in Australia. A colour photograph taken no more than six months before Australian diplomatic and consular offices or agents cannot lodgement of this Photo-kit, 45mm in height and 35mm in provide further information about the renewal or width. replacement of licences. Plain, light coloured background with no patterns or objects visible. Please complete this Photo-kit in full and include payment. Roads and Maritime Services will not issue a Eye glasses must be removed (regardless of whether licence unless you meet all of the necessary glasses are required for driving). requirements on this form. Hats or caps must be removed. Proof of Identity Headwear worn for religious purposes is Include with this Photo-kit your current NSW driver licence acceptable, but all of your facial features or one that has expired within the last two years. It must must be visible, from the bottom of your show a photograph with a similar likeness to you. If you are chin to the top of your forehead, and unable to send your NSW licence, you must have your both edges of your face. sample photograph application and proof of identity document(s) witnessed and Look directly at the camera with a neutral expression and certified. If the proof of identity document(s) are in an old mouth closed. Your head must be straight (not tilted) and name because of a name change, you must also provide a upright. change of name document that has been witnessed and Eyes open and clearly visible, and without hair obscuring certified. Please see Section C (page 4) regarding witness any part of your eyes. Both edges of your face must be certifications. The witness on page 5 may charge a clearly visible. witnessing fee to endorse the kit and photograph. This is not No smiling. a part of the licensing fee. The photo must show your head and the top of your Licence Fees shoulders. Your face must be centred, clear and in sharp For current licence fees and concessions, go to rms.nsw. focus with no shadows across your face or behind your gov.au or for further information please call the Service head, no reflections on the face and no red eye. NSW Photo Kit Unit on 02 8894 1599. The photo must show you alone, with no other person or Payments can only be made by cheque or bank draft in object visible. Australian currency to Roads and Maritime Services, or by credit card (complete the credit card payment slip below). Paper surface must be 'semi gloss' photographic paper. Overseas bank drafts must be endorsed as payable through an Australian bank. Lodging this Photo-kit DO NOT SEND CASH. Lodgement is by post only. Mail your Photo-kit and payment to If you are entitled to a pensioner concession, a photocopy of the address listed in the contact details below. your proof of the concession (eg a Pensioner Concession Card) is required and must be validated online. The name We no longer record organ donation details. For more on your proof of concession must be identical to the name information visit donatelife.gov.au on the licence and must have a NSW address. Please return this form to: Photo Kit Unit, Service NSW 51-55 Currajong St, Parkes NSW 2870 PO Box 21, Parkes NSW 2870, AUSTRALIA rms.nsw.gov.au T 61 2 8894 1599 E [email protected] Catalogue No. 45070563 Form No. 1091 (07/2019) Page 1 of 5 Credit Card Authority Card number Valid until / Tick the appropriate box AMERICAN EXPRESS Card holder's name Amount DINERS CLUB $ MASTERCARD Signature of card holder Date / / VISA Day Month Year Photo-kit for a NSW Licensee Temporarily Overseas Instructional Notes and Credit Card Authority This Photo-kit should be used by NSW licence holders (who are temporarily overseas) to apply for the renewal or replacement of a NSW photo licence. Refer to page 1 for all instructional notes. Section A - Customer details Section B - Application for renewal or replacement Driver licence number Date of birth To renew or replace your licence you need to answer these questions and complete the declaration. If you answer yes to / / questions 7 to 15 you may be required to supply a doctor's Day Month Year certificate. Surname A five year licence is not available to all licensees. Only unrestricted licences can be renewed for 5 years. 1. Renewal period Given name(s) 1 yr 3 yrs 5 yrs go to 4 Provisional licence holders can renew for: NSW residential address (must be supplied) P1 (18 months) P2 (30 months) 2. Postcode I would like to apply for a replacement licence Yes go to 3 Return address (the new licence will be posted to this address, use block letters) 3. What is the reason for your application for a replacement licence? Lost Stolen Postcode Not received Other Give details Mobile number (if you would like to receive communications) Contact E-mail address (preferred) 4. Have you ever held another NSW licence to drive or ride or Full name of an Australian relative or friend or a NSW Photo Card /Proof of Age Card in the above name or in another name where the licence number or customer number is different? No Australian contact phone number of the relative or friend Yes Give details Previous licence/Customer no. Anticipated date of return to NSW / / Class of licence Day Month Year Expiry date Other name continued page 3 Catalogue No. 45070563 Form No. 1091 (07/2019) Page 2 of 5 Left blank for Roads and Maritime processing purposes 5. Since last obtaining your licence, have you been 12. Do you regularly use drugs (such as stimulants or prohibited or refused from driving a motor vehicle or drugs of addiction) other than prescription medication, riding a motorcycle in NSW or elsewhere? which may affect your driving? No No Yes Give details Yes Give details 6. Since last obtaining your licence, have you been 13. Do you need to wear glasses or contact lenses when disqualified, cancelled, suspended or is there a charge driving? pending against you for a driving or riding offence? No No Yes Give details Yes Give details 14. Do you have any eye or vision condition (other than 7. Do you have Diabetes that is controlled by insulin? monocular vision) that may affect your driving? For example, double vision, visual field defects, poor night No vision. Yes Give details No Yes Give details 8. Do you have Diabetes that is controlled by oral medication? 15. Do you have monocular vision? No No Yes Give details Yes Give details 9. Do you have Epilepsy? 16. Was your last licence renewal done via photo-kit? No No Yes Give details Yes Give details 10. Have you had attacks of giddiness, blackouts, fainting 17. Licensee specimen signature or other sudden periods of unconsciousness that you have not previously declared to Roads and Maritime? YOU MUST SIGN THIS BOX - USE BLACK INK ONLY No Specimen Signature of Licensee Yes Give details If you need to have a witness verify your proof of identity or change of name documents, the witness MUST see you sign in the signature specimen box. Only sign in the specimen signature box whilst the witness is present. The specimen signature needs to be clear, bold and in BLACK ink. 11. Do you have any medical, physical or mental disabilities which may affect your driving? If the signature cannot be used the application will not be processed and you will be required to send a new one. No Keep your signature inside the white box Yes Give details Catalogue No. 45070563 Form No. 1091 (07/2019) Page 3 of 5 18. Privacy statement and declaration Section C - Proof of identity (POI) Please read carefully before you sign. If you do not tell the You must have a witness complete page 5. If, truth you can be fined. Any licence you hold could be cancelled. you cannot return your current NSW driver licence or one We are collecting your personal information for your that expired within the last two years, or application for a driver licence and we may retain and use it your proof of identity documents are in different names due for driver licensing, motor vehicle and road transport or road to a name change safety purposes. You are required to provide this information under road Note: if you have changed your name, you must return your transport legislation and we may refuse your application if current NSW driver licence and include with this Photo-kit a you do not provide it.
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