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0% found this document useful (0 votes)
22 views

Compleated Form

Uploaded by

yeeeet
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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2025 PTV Tertiary Student ID

application form
To obtain a PTV Tertiary Student ID you must be:
> studying full-time and on-campus at an Institution registered with the Victorian Department of Education
as shown in the PTV Register of Approved Courses in Tertiary Institutions; and
> an overseas exchange student, a citizen or permanent resident of Australia (Special Category Visa holders excluded),
students with refugee status; students studying as part of the Endeavour Leadership Scholarship or
Australia Awards Scholarship.
Unfortunately, you are not eligible for a PTV Tertiary Student ID if you are:
> enrolled in a Masters, Doctorate, or other postgraduate course; > enrolled in an apprenticeship course;
> an overseas full-fee paying student; > enrolled in an off-campus course; or
> enrolled in a tertiary course which is less than 10 weeks duration; > studying part-time.

Applicant details
First name

William

Last name
Shields

Address

50 Wells Road Beaumaris 3

Phone number
File Number

0478549891

Course name

Bachelor of Laws
Course start date (DD/MM/YYYY)
26/02/2024

Course duration
Please attach photos here
24 number of weeks in 2025
– Photos must be passport style and include head
Residential status (please select one) and shoulders. Institution ID photos or photos taken
using a smartphone against a white background may
Australian citizen/permanent resident be used
OR – Make sure they’re colour, in focus and identical
Overseas exchange student, student with a refugee status, – Don’t use sticky tape
 a student holding an Australia Awards Scholarship or
or – Stamp the photos with your official stamp.
Endeavour Leadership Scholarship Stamp the top left hand corner, not over the face.
Student’s name (in CAPITAL LETTERS)

GLUE GLUE
PHOTO PHOTO
Max 36mm
Max 36mm

Min 32mm
Min 32mm

Locations of issue: Metropolitan Premium Stations, staffed


V/Line Stations, PTV Hub, regional bus operators & V/Line
ticket agents. Call 1800 800 007 for locations and hours of
operation or visit ptv.vic.gov.au
Some stations may not be able to process forms before
9.30am and between 3.30pm to 6.00pm on weekdays.
Institution declaration
I confirm the details of the student named in this application form are correct. I’ve checked the student’s school records and the student
is full-time and eligible for a PTV Tertiary Student ID. I agree that this school will let PTV know if these details change.

Signature of Institution representative Date (DD/MM/YYYY)

Name of signatory

Institution name

Choose your PTV Tertiary Student ID


PTV Tertiary Student ID fee: $9.00 Tertiary Year Tertiary Half Year
Tertiary students enrolled in an approved short course of between 10 and 20 weeks may only obtain a Half Year PTV Tertiary Student ID.
ID validity dates – all from date of purchase until: 1st Half Year 31 July 2025, 2nd Half Year 28 February 2026, Year 28 February 2026.
Year and 1st Half ID available to purchase from 1 January 2025. 2nd Half Year ID available to purchase from 1 July 2025.

Terms and conditions and privacy


1. Issued subject to the Transport (Compliance and Miscellaneous) Act 1983, the Regulations, conditions in the Victorian Fares and
Ticketing Conditions, and Conditions of Use on the back of your PTV Tertiary Student ID.
2. You must carry your PTV Tertiary Student ID when travelling on a concession fare, and present it on request.
3. Your PTV Tertiary Student ID remain PTV’s property.
4. Your PTV Tertiary Student ID can only be used by you and can’t be transferred to others.
5. It’s your responsibility to ensure you remain eligible for your PTV Tertiary Student ID. If you’re no longer an eligible full time student,
return your PTV Tertiary Student ID to the place of purchase.
6. PTV collects your personal information to assess eligibility, administer and manage PTV Tertiary Student ID applications.
PTV may use or disclose your personal information to relevant government agencies and transport operators for purposes
associated with the administration of public transport ticketing laws. PTV manages your personal information in accordance with
its privacy policy at ptv.vic.gov.au. If you choose not to provide the information requested, PTV may not be able to process your
application. You can access your personal information by email: [email protected] or mail PTV Information Officer,
PO Box 4724, Melbourne VIC 3001.

I agree to these terms and conditions and have read the privacy notice.
Signature of student

Office use only


PTV Tertiary Student ID number
Date (DD/MM/YYYY)

Date of issue (DD/MM/YYYY)

Replacement PTV Tertiary Student ID number


DTP0999/24

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