Sign-Up Day Checklist
Family Name of Applicant: ______________________
Sign Up Venue: ___________________
Total # of Applications submitted: ____
____# of Registrations
Includes: ____# of BCs
Date: ___________________________
Reviewer: _______________________
Applications per State: NSW___ Qld ____Vic ____ ACT____ Other_______
PART A: Guardian Parent or Primary Applicant Proof of ID
Category 1
Category 2
Category 3
Birth Cert.
Australian Drivers
Licence
Medicare Card
Citizenship
Cert.
D
D
D
D
D
D
Australian Passport
Firearms Licence
Foreign Passport
Marriage
Certificate
RMS or RTA Photo
Card
Cert. of
Aboriginality
Centrelink
Statement
PART B: Guardian/ Parent/Carer
Proof of Link to Child
D
D
D
D
D
D
D
D
D
D
Credit/Debit Card
Centrelink/ Dept.of Vet.
Affairs Card
Student or Tertiary ID
Card
Centrelink/ Dept.of
Vet. Affairs Card
MUST have Children’s name
on at least one of these
Cards.
D
D
D
Bank Statement
D
D
D
D
D
D
D
D
D
Current lease/Tenancy
Agreement
Rates Notice
D
D At least two (2) from Category 3
D
D
D
PART
C: Proof of Child Identity
D
Medicare Card
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D MUST have at least three (3) of
D
D
these Items for Proof of ID
D
D Prefer one each from Cat 1,2 & 3
D
D
D
Category 3
Medicare Card
Category 4
Utility Bill (gas, water,
electricity, mobile or home
phone #)
Preschool or School
Report
Medical Certificate
(From Family GP with full
name & DOB)
Health Insurance
Commission
Immunisation Certificate
A Centrelink Letter (if full
name is shown)
MUST have at least one
of these Items for Birth
Registration Purposes
P_NABC_Program Sign-Up Day Checklist V3_03/03/2016
PART D: JP Certification
YES
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
No
D
D
D
PART E: AUTHORITY
Form
Signed
Dated
D
D
Addressed D
D
D
D
PART F: Application
D
D
D
Signed
D
D
Completed D
D
D
D
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