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Government of Western Australia Department of Transport Optional Plates Application Form Plate Sizes Motor Vehicle Normal 372mm x 134mm Slimline 372mm 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 Motorcycle Normal 254mm x 100mm Small 190mm x 100mm Last updated 11.06.2019 I take full responsibility for the displaying of the approved plates and agree to abide by the terms and conditions above: DATE / / PLATE OWNER DETAILS (NAME IN WHICH PLATES ARE TO BE REGISTERED) CONTACT DETAILS (IF CORRESPONDENCE NOT TO BE SENT TO THE OWNER) REMAKE APPLICATION DECLARATION General Terms and Conditions - Optional Plates Is this application for a remake of existing optional plates? YES NO 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 (Vehicles) 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 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. PLEASE NOMINATE YOUR PREFERRED COLLECTION SITE* *Please note identification will be required when collecting plates COLLECTION DETAILS SIGNATURE OF APPLICANT FAMILY NAME FIRST NAME PHONE NUMBER MOBILE NUMBER EMAIL ADDRESS SUBURB POST CODE STATE RESIDENTIAL ADDRESS DATE OF BIRTH / / DRIVER’S LICENCE NUMBER 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) WA FAMILY NAME FIRST NAME PHONE NUMBER MOBILE NUMBER EMAIL ADDRESS SUBURB POST CODE STATE RESIDENTIAL ADDRESS DATE OF BIRTH / / DRIVER’S LICENCE NUMBER W A

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Page 1: Optional Plates Application Form - DOT Home · Government of Western Australia Department of Transport Optional Plates Application Form Plate Sizes Motor Vehicle Normal 372mm x 134mm

Government of Western AustraliaDepartment of Transport

Optional Plates Application Form

PlateSizes

Motor Vehicle

Normal 372mm x 134mm

Slimline 372mm 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

Motorcycle

Normal 254mm x 100mm

Small 190mm x 100mm

Last updated 11.06.2019

I take full responsibility for the displaying of the approved plates and agree to abide by the terms and conditions above:

DATE

/ /

PLATE OWNER DETAILS (NAME IN WHICH PLATES ARE TO BE REGISTERED)

CONTACT DETAILS (IF CORRESPONDENCE NOT TO BE SENT TO THE OWNER)

REMAKE APPLICATION

DECLARATION

General Terms and Conditions - Optional Plates

Is this application for a remake of existing optional plates? YES NO

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 ChiefExecutive Officer of Transport.

• The person entitled to the Certificate of Right to Display and Trade the platesmay sell that right. The vendor of the Certificate of the Right to Display andTrade and the purchaser are obliged to complete a transfer form and notifythe Chief Executive Officer of Transport of the sale of the right to display theplates.

• A sale can take place at any price to any individual or corporation, but theCertificate of Right to Display and Trade the plates must be transferred inaccordance with the Road Traffic (Vehicles) Regulations 2014. Failure to doso will constitute a breach of the regulations, for which there is a penalty.

• The Department of Transport provides no guarantee that designs or designfeatures will be available in the future.

• Where design features are no longer available, remake applications will beproduced in the design features currently available for that plate series.

• Plates not attached to a Western Australian licensed vehicle must be storedat a Driver and Vehicle Services (DVS) Centre or DVS Agent on behalf ofthe Chief Executive Officer, and a storage fee for each year or part thereofwill be charged to the person entitled to the Right to Display and Trade theplates.

• The Chief Executive Officer reserves the right to refuse any application heconsiders to be or may be perceived to be:

a. Offensive;b. Contentious;c. Of a sensitive nature;d. In breach of any Trade mark; ore. For any other reason.

• The applicant warrants that the character combination applied for in no wayinfringes any third party’s intellectual property rights.

• The applicant indemnifies the Chief Executive Officer and the State ofWestern Australia in the event of any third party claims for breach oftrademark arising from the use of the plate.

• The Applicant agrees that in the event the character combination doesinfringe any third party’s intellectual property rights or is found not tocomply with the Plate Committee Guidelines, pursuant to these terms andconditions, the Chief Executive Officer may require the return of the platestogether with the Certificate of the Right to Display and Trade, and theApplicant acknowledges and accepts that the Applicant has no further rightsrelating to those plates.

PLEASE NOMINATE YOUR PREFERRED COLLECTION SITE*

*Please note identification will be required when collecting plates

COLLECTION DETAILS

SIGNATURE OF APPLICANT

FAMILY NAME

FIRST NAME

PHONE NUMBER MOBILE NUMBER

EMAIL ADDRESS

SUBURB

POST CODESTATE

RESIDENTIAL ADDRESS

DATE OF BIRTH

/ /DRIVER’S LICENCE NUMBER

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)

W A

FAMILY NAME

FIRST NAME

PHONE NUMBER MOBILE NUMBER

EMAIL ADDRESS

SUBURB

POST CODESTATE

RESIDENTIAL ADDRESS

DATE OF BIRTH

/ /DRIVER’S LICENCE NUMBER

W A

Page 2: Optional Plates Application Form - DOT Home · Government of Western Australia Department of Transport Optional Plates Application Form Plate Sizes Motor Vehicle Normal 372mm x 134mm

Retro Series - Motor vehicles - no space permitted

ALUMINIUM

Normal

Slimline

Combination

PLATE SIZE

COLOUR

BLACK ON WHITE

WHITE ON BLACK

X contains 3 letters, 3 numbers

OR

U contains 3 letters, 3 numbers.

LETTERS NUMBERS

LETTERS NUMBERS

Retro Series - Motorcycles - no space permitted

X contains 2 letters, 3 numbers

OR

ALUMINIUM COLOUR

BLACK ON WHITE

WHITE ON BLACK

Motorcycle size onlyPLATE SIZE

LETTERS NUMBERS

U contains 2 letters, 4 numbers; or 2 letters, 3 numbers.

LETTERS NUMBERS

Custom Series - If a space is required please mark

ALUMINIUM

ACRYLIC

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.

COLOUR

BLACK ON WHITE

GREEN ON WHITE

RED ON WHITE

BLUE ON WHITE

WHITE ON BLACK

WHITE ON ORANGE

WHITE ON DARK BROWN

WHITE ON DARK GREEN

WHITE ON OLIVE GREEN

WHITE ON PINK

WHITE ON BLUE

WHITE ON DARK BLUE

WHITE ON GREY

WHITE ON PURPLE

BLUE ON BRAND WA

Cannot contain numbers only. No leading space.

Maximum of 9 characters for motor vehicles. Maximum of 7 characters for motorcycle size. Cannot contain numbers only. No leading space.

Normal

Slimline

Combination

MOTOR VEHICLE SIZE

1/2 size 1-3 characters

3/4 size 1-5 characters

Normal 1-7 characters

Small 1-5 characters (Aluminium only)

MOTORCYCLE SIZE

Motor vehicle

Trailer

Motorcycle

VEHICLE TYPE

Design Series - no space permitted

ALUMINIUM

Normal

Slimline - not available for motorcycles

Combination - not available for motorcycles

PLATE SIZE

COLOUR

contains 3 letters and 3 numbers

OR

contains 3 numbers and 3 letters.

LETTERS NUMBERS

NUMBERS LETTERS

Motor vehicle

Trailer

Motorcycle

VEHICLE TYPE

Intense Series - no space permitted

ALUMINIUM

contains 3 letters and 3 numbers

contains 4 letters and 2 numbers

contains 3 letters and 2 numbers

contains 2 letters and 4 numbers

Motor vehicle

Trailer

VEHICLE TYPENormal size onlyPLATE SIZE

COLOUR

LETTERS

LETTERS

LETTERS

LETTERS NUMBERS

NUMBERS

NUMBERS

NUMBERS

Not available for motorcycle, slimline, 1/2 or 3/4. The colours displayed may vary from the actual plate.

Personalised - no space permitted

ALUMINIUM

LETTERS NUMBERS

COLOUR

Motor vehicle

Trailer

Motorcycle

VEHICLE TYPE

Bizplate Remake Only

LETTERS NUMBERS

Motor vehicle

Trailer

VEHICLE TYPE

ALUMINIUM

Bizplate will be remade as per the original application and no changes are permitted.

Page 3: Optional Plates Application Form - DOT Home · Government of Western Australia Department of Transport Optional Plates Application Form Plate Sizes Motor Vehicle Normal 372mm x 134mm

Euro Premium- If a space is required please markPrestige Series - no space permitted

ALUMINIUM

LETTERS NUMBERS

COLOUR

BLACK ON WHITE

WHITE ON BLACK

SlimlinePLATE SIZE

Combination

Chinese Zodiac Series - no space permitted

Normal

PLATE SIZE

LETTERS NUMBERS

LETTERS NUMBERS

Pig

Dog

Dragon

Horse

Monkey

Ox

Rabbit

Goat

Rat

Rooster

Snake

Tiger

TYPE

ALUMINIUM COLOUR

Motor vehicle

Trailer

Motorcycle

VEHICLE TYPE

Maximum of 7 characters for motor vehicles. Maximum of 7 characters for normal motorcycle size.Maximum of 5 characters for small motorcycle size. Cannot contain numbers only. No leading space.

Normal 1-7 characters

Small 1-5 characters

MOTORCYCLE SIZE

Slimline - not available for motorcycles

NormalMOTOR VEHICLE SIZE

COLOUR

Combination - not available for motorcycles and trailers

ALUMINIUM

Metallic Series - If a space is required please mark

Euro Custom Plus - no space permitted

Euro Custom - no space permitted

Euro size

Baby Euro

Combination

PLATE SIZE

COLOUR

Cannot contain numbers only

ALUMINIUM

Euro size

Baby Euro

Combination

PLATE SIZE

COLOUR

Blue Sash

ALUMINIUM

Euro size

Baby Euro

Combination

PLATE SIZE

LETTERS NUMBERS

COLOUR

Blue Sash

ALUMINIUM

Euro Series - characters allocated

Euro size

PLATE SIZE

LETTERS NUMBERS

COLOUR

Blue Sash

ALUMINIUM

World Rally Championships - no space permitted

ALUMINIUM

Up to 3 characters.

Normal - Pre determined

PLATE SIZE

COLOUR

Motor vehicle

Trailer

VEHICLE TYPE

W R C

Name Series - If a space is required please mark

COLOUR

Maximum 9 letters, including spaces no leading space.

ACRYLIC

Frangipani Series - no space permitted

LETTERS NUMBERS

NUMBERS LETTERS

COLOURALUMINIUM

Normal

Slimline

Combination

PLATE SIZE

Department of TransportDriver and Vehicle Services Centre or regional Agent (see website for details). Web: www.plateswa.com.au Email: [email protected] Phone: 1300 765 106

Contact Information