KA Karting System

Apply for Pit Crew Licence

Application Notes

You must supply a current photo.
Parent/Guardian signature is required if applicant is under 18.

Personal Details

Given Name

Middle Name

Family Name

Date Of Birth

Gender

Contact Details

Phone (mobile)

Phone (home)

Phone (work)

Fax

Confirm Email

Residential Address

click here for manual address entry

click here for autocomplete address entry

Address Line 1

Address Line 2

Suburb/Town

State

Postcode

Postal Address

Same as residential address

click here for manual address entry and Post Office Box addresses

click here for autocomplete address entry

Address Line 1

Address Line 2

Suburb/Town

State

Postcode

Passport photo (required)

You must attach a passport-sized photograph of yourself here.

Photo field

Browse

Application details

State to process the application

The price will appear below after you have selected the state.

Payment Details

Amount

Method

Order no

Cheque no

Card type

Card number

Security code

(info)

Card name

Card expiry

At the end of this transaction the system will request your credit card details. The details will be sent encrypted directly to SecurePay for processing.

Cheques payable to

Bank

Name

BSB

Account

You must clearly state your payment reference:

Conditions

I hereby apply for the issue of an KA Pit Crew Licence for use as a Pit Crew at KA licenced circuits, for participation in authorised KA Karting competitions or for private practice. I agree to be bound by the National and State Karting Council Rules. Medical Disclaimer: KA Manual Competition Rules Chapter 4 Rule 8 may apply.

I accept the insurance waiver (click here to see the insurance waiver in a new screen)

Karting Australia Licence System

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Apply for Pit Crew Licence