New Application

Please note details entered in this form must match your current drivers licence. Upon picking up your car you will need to provide your drivers licence and a utility bill to confirm your address, Please make sure the details provided in this form are the same as these documents.

General Details

  • First Name as per drivers licence
  • Surname as per drivers licence
  • Preferred Name
  • Email Address
  • Date of Birth
  • Mobile Number
  • Landline Number
  • Prefered Language
  • Drivers Licence Number
  • ABN
  • Do you have a company name?
  • CompanyName

Residential Address

  • Unit Number
  • House Number
  • Street Name
  • Postcode
  • City
  • State

Mailing Address

  • Is your mailing address the same as your residential address?
  • Unit Number
  • House Number
  • Street Name
  • Postcode
  • City
  • State

Bank Account Details

  • Bank account name
  • BSB
  • Account Number

Credit Card Details

  • Card Type
  • Card Number
  • Card Expiry Date

  • CSV

Second Driver

  • Would you like to nominate a second driver?
  • First Name as per drivers licence
  • Surname as per drivers licence
  • Preferred Name
  • Email Address
  • Date of Birth
  • Mobile Number
  • Landline Number
  • Prefered Language
  • Drivers Licence Number
  • Unit Number
  • House Number
  • Street Name
  • Postcode
  • City
  • State

Registration

  • Are you a registered uber driver?
  • uber Id Number
  • Upload a screenshot or photo of your active uber profile

Hours

  • How many hours per week will you drive for uber?

Employment

  • Are you currently employed?
  • Employer business name
  • Employment type
  • Annual income before tax

Login Details

  • User name
  • Password
  • Confirm password

How did you hear about us?

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