Optional Plate Government of Western Australia Department of Transport Application Form Driver and Vehicle Services Character Selection Vehicle Type Material Frangipani Series - no space permitted Vehicles only Aluminium Letters Plate Size Normal Slimline Combination Colour Black Numbers Pink Numbers Letters Letters Numbers Zodiac Series - no space permitted Letters Numbers Numbers Letters Chinese Zodiac Series - no space permitted Letters Numbers Numbers Letters Custom Series Aluminium - If a space is required please mark Cannot contain numbers only. No leading space. Acrylic - If a space is required please mark Maximum of 9 characters for motor vehicles. Maximum of 7 characters for motorcycle size. Cannot contain numbers only. No leading space. Name Series If a space is required please mark Vehicles only Select type Aries Aquarius Cancer Aluminium Capricorn Gemini Leo Vehicles only Select type Pig Dog Dragon Normal Slimline Combination Libra Pisces Sagittarius Aluminium Horse Monkey Ox Motor vehicle Trailer Motorcycle Scorpio Taurus Virgo Black Purple Normal Rabbit Goat Rat Rooster Snake Tiger Motor vehicle size Normal Slimline Combination 1/2 size 1-3 characters 3/4 size 1-5 characters Black Motorcycle size Normal 1-7 characters Small 1-5 characters BLACK ON WHITE WHITE ON ORANGE WHITE ON BLUE GREEN ON WHITE WHITE ON DARK BROWN WHITE ON DARK BLUE BLUE ON WHITE WHITE ON OLIVE GREEN WHITE ON BLACK RED ON WHITE WHITE ON DARK GREEN WHITE ON PURPLE WHITE ON PINK WHITE ON GREY BLUE ON BRAND WA Brand WA only available in normal size. Not available for motorcycle, slimline, 1/2 or 3/4. The colours displayed may vary from the actual plate. Vehicles only Acrylic Normal only Vehicles only Aluminium Slimline Combination Maximum 9 letters, including spaces no leading space. Prestige Series - no space permitted WHITE ON BLACK BLACK ON WHITE Letters Numbers Last updated 06/03/2015 Character Selection Vehicle Type Material Plate Size Colour Euro Premium Vehicles only Aluminium Euro size Baby Euro Combination Euro Custom Plus - no space permitted Vehicles only Aluminium Euro size Baby Euro Combination Euro Custom - no space permitted Vehicles only Aluminium Blue sash Euro size Baby Euro Euro Combination Vehicles only Aluminium Euro size Aluminium Motor vehicle size Cannot contain numbers only If a space is required please mark Letters 2 letters and 3 numbers Numbers Euro Series - characters allocated Letters Blue sash Numbers Retro Series - Motor vehicles - no space permitted X contains 3 letters, 3 numbers Letters Blue sash Numbers OR Normal Slimline Combination WHITE ON BLACK BLACK ON WHITE U contains 3 letters, 3 numbers. Numbers Letters Retro Series - Motor cycles - no space permitted Motorcycle size Normal size only X contains 2 letters, 3 numbers Letters Numbers OR U contains 2 letters, 4 numbers. OR 2 letters, 3 numbers. Letters Numbers Personalised If a space is required please mark Motor vehicle Trailer Motorcycle Aluminium Normal size Motor vehicle Trailer Aluminium Normal size Numbers Letters 1, 2 or 3 Letters and 3 numbers. World Rally Championships If a space is required please mark Up to 3 characters. Pre determined Design series - No spaces permitted Vehicle type Motor vehicle Trailer Motorcycle contains 3 letters and 3 numbers Plate size Normal Slimline - not available for motorcycles Combination - not available for motorcycles or trailers OR Numbers Letters contains 3 numbers and 3 letters. Letters Numbers Intense series - No spaces permitted contains 2 letters and 4 numbers Vehicle type Motor vehicle Trailer Plate size Normal contains 3 letters and 2 numbers contains 3 letters and 3 numbers contains 4 letters and 2 numbers BIZPLATE REMAKE Size Vehicle Trailer Top message Bottom message Numbers Letters Colour Own logo/image Background colour of library image Yes White No (If no, select library image below) Black Library Image DECLARATION I take full responsibility for the displaying of the approved plates and agree to abide by the terms and conditions overleaf: Signature of applicant Date PLEASE TURN OVER PLATE OWNER DETAILS (NAME IN WHICH PLATES ARE TO BE REGISTERED) SURNAME GIVEN NAME/S DATE OF BIRTH ADDRESS POSTCODE DAYTIME TELEPHONE MOBILE DRIVER’S LICENCE NO. To assist Driver and Vehicle Services in assessing your optional plate application please provide a brief description for your chosen character combination (nickname, pets name etc) Correspondence to be directed to owner? Yes No (If no, complete below) CONTACT DETAILS SURNAME GIVEN NAME/S DATE OF BIRTH ADDRESS POSTCODE DAYTIME TELEPHONE MOBILE DRIVER’S LICENCE NO. COLLECTION DETAILS COLLECTION SITE - Please nominate your preferred collection site: *Please note identification will be required when collecting plates REMAKE APPLICATION Is this application for a remake of existing optional plates? Yes No Motor Vehicle Plate Sizes Motorcycle Normal 372mm x 134mm Normal 254mm x 100mm Slimline 372mm x 100mm Small 190mm x 100mm 1/2 size 190mm x 134mm 3/4 size 315mm x 134mm Combination 1 normal & 1 slimline Euro 520mm x 111.8mm Baby Euro 372mm x 100mm Euro Combination 1 Euro & 1 Baby Euro General Terms and Conditions - Optional Plates The Applicant for Optional Plates agrees to the following terms and conditions: • Optional plates cannot be affixed to a taxi, omnibus or any other vehicle, which requires specific identifying number plates. • Payment in full is required on submission of the application. • The successful applicant will be issued with a Certificate of Right to Display and Trade. The plates however, always remain the property of the Chief Executive Officer of Transport. • The person entitled to the Certificate of Right to Display and Trade the plates may sell that right. The vendor of the Certificate of the Right to Display and Trade and the purchaser are obliged to complete a transfer form and notify the Chief Executive Officer of Transport of the sale of the right to display the plates. • A sale can take place at any price to any individual or corporation, but the Certificate of Right to Display and Trade the plates must be transferred in accordance with the Road Traffic (Vehicle) Regulations 2014. Failure to do so will constitute a breach of the regulations, for which there is a penalty. • The Department of Transport provides no guarantee that designs or design features will be available in the future. • Where design features are no longer available, remake applications will be produced in the design features currently available for that plate series. • Plates not attached to a Western Australian licensed vehicle must be stored at a Driver and Vehicle Services (DVS) Centre or DVS Agent on behalf of the Chief Executive Officer, and a storage fee for each year or part thereof will be charged to the person entitled to the Right to Display and Trade the plates. • The Chief Executive Officer reserves the right to refuse any application he considers to be or may be perceived to be: a. Offensive; b. Contentious; c. Of a sensitive nature; d. In breach of any Trade mark; or e. For any other reason. • The applicant warrants that the character combination applied for in no way infringes any third party’s intellectual property rights. • The applicant indemnifies the Chief Executive Officer and the State of Western Australia in the event of any third party claims for breach of trademark arising from the use of the plate. • The Applicant agrees that in the event that the character combination does infringe any third party’s intellectual property rights or is found not to comply with the Plate Committee Guidelines, pursuant to these terms and conditions, the Chief Executive Officer may require the return of the plates together with the Certificate of the Right to Display and Trade, and the Applicant acknowledges and accepts that the Applicant has no further rights relating to those plates.
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