TransLink - go card registration form

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Welcome to go!

Important information: before completing this application to register your existing go card, please read the go card guide to applications. You can also register your existing go card by phoning TransLink on 13 12 30.

Where an authorised user is linked to the account, the cardholder must supply credit card details and register by phoning 13 12 30 or by downloading and completing the application form and returning via post.

Applying

To register my existing unregistered go card for my use

You must complete the mandatory fields (*).

go card number (last 16 digits on back of card) *


Cardholder details (your details)

The cardholder must be 15 years of age or older to apply for a registered card. The cardholder is responsible for the card and compliance with the go card Conditions of Use.

Title
Given name *
Middle initial/s
Family name *
Home address *
City/suburb *
state *
Postcode *
Postal address (if different to home address) *
City/suburb *
State *
Postcode *
Email address
Daytime phone *
Mobile phone
Date of birth
Security question (please answer one of the following security question for identification purposes) *



go card type *

Please select type of go card:



senior entitlement ID number (a current Queensland Seniors Card issued by the Queensland State Government)
- issued by Centrelink or Department of Veterans' Affairs (note: dependants of PCC cardholders listed on the card are not entitled to concession travel)
ID number
Expiry date
- issued by Department of Veterans' Affairs
ID number
Expiry date
- 15 years and over with student photo identification
ID number
Expiry date
School
- a student identification card with photo and QR logo (tertiary students), or a QT issued Tertiary Transport Card (full time students who attend a University, Institute or TAFE or other approved post secondary institution located in QLD). Must be enrolled in a course which is eligible for Austudy, Abstudy or Youth Allowance and is a the post secondard or post graduate level. A full time student is a student who attends an approved educational institution/s for at least 12 hours per week for a minimum of months or 12 weeks and has full time endorsed on their student ID card.
ID number
Expiry date
Educational institution


Cardholder agreement *

I (your full name),
  • acknowledge that I have received, read and understood the go card Conditions of Use^
  • agree to comply with the go card Conditions of Use^
  • authorise TransLink to record and use the details supplied on this form in accordance with the TransLink smart card Privacy Statement^
  • agree to notify TransLink promptly of any change in details supplied on this form including the name, address and telephone number of the cardholder
  • agree to be liable for all fares, fees and charges incurred by the use of the smart card as outlined in the go card User Guide^
  • agree that the go card is not transferable between users
^ available at www.translink.com.au/go or by calling TransLink on 13 12 30.



Privacy statement: The information collected on this application will be used to fulfil Queensland Transport's requirements. Our objective is to protect the privacy, accuracy and security of your personal information. Full details of the TransLink smart card Privacy Statement can be obtained at www.translink.com.au/go or by calling TransLink on 13 12 30.



Please note: Your application may take a few minutes to process. Please wait for the confirmation screen. Do not submit the form more than once as this may delay your application.
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Last updated 30 June 2008
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