Step 1 of 2 - USI Fields marked with * are required and must be completed. Leave this field blank This process will check and match your existing USI if it exists, or register a new USI for you. If you know the USI already, you can verify the USI instead. USI Registration Formal Given name:* Please add your name as it appears on your personal identification documents. This is how it will be displayed on your certificate. Middle name(s): Last name:* Date of birth:* In which country were you born?* Please type then select Australia Prefer not to say Adelie Land (France) Afghanistan Aland Islands Albania Algeria Americas Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Argentinian Antarctic Territory Armenia Aruba At Sea Australia Australia (includes External Territories) Australian Antarctic Territory Australian External Territories, nec Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia, Plurinational State of Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Brazil British Antarctic Territory Brunei Darussalam Bulgaria Burkina Faso Burma (Republic of the Union of Myanmar) Burundi Cambodia Cameroon Canada Cape Verde Caribbean Cayman Islands Central African Republic Central America Central Asia Central and West Africa Chad Chile Chilean Antarctic Territory China (excludes SARs and Taiwan) Chinese Asia (includes Mongolia) Colombia Comoros Congo, Democratic Republic of Congo, Republic of Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Eastern Europe Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland Former Yugoslav Republic of Macedonia (FYROM) France French Guiana French Polynesia Gabon Gambia Gaza Strip and West Bank Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Holy See Honduras Hong Kong (SAR of China) Hungary Iceland Inadequately Described India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Japan and the Koreas Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of (North) Korea, Republic of (South) Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau (SAR of China) Madagascar Mainland South-East Asia Malawi Malaysia Maldives Mali Malta Maritime South-East Asia Marshall Islands Martinique Mauritania Mauritius Mayotte Melanesia Mexico Micronesia Micronesia, Federated States of Middle East Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Africa North Africa and the Middle East North-East Asia North-West Europe Northern America Northern Europe Northern Ireland Northern Mariana Islands Norway Oceania and Antarctica Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Polynesia (excludes Hawaii) Polynesia (excludes Hawaii), nec Portugal Puerto Rico Qatar Queen Maud Land (Norway) Reunion Romania Ross Dependency (New Zealand) Russian Federation Rwanda Samoa Samoa, American San Marino Sao Tome and Principe Saudi Arabia Scotland Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South America South America, nec South Eastern Europe South Sudan South-East Asia Southern Asia Southern Europe Southern and Central Asia Southern and East Africa Southern and East Africa, nec Southern and Eastern Europe Spain Spanish North Africa Sri Lanka St Barthelemy St Helena St Kitts and Nevis St Lucia St Martin (French part) St Pierre and Miquelon St Vincent and the Grenadines Sub-Saharan Africa Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom, Channel Islands and Isle of Man United States of America Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Vietnam Virgin Islands, British Virgin Islands, United States Wales Wallis and Futuna Western Europe Western Sahara Yemen Zambia Zimbabwe What town or city were you born in?* Gender:* Please select Male Female Indeterminate / Intersex / Unspecified Email:* Mobile phone:* Home phone: Area 02 03 04 07 08 Address Details Country of Residence:* Choose a country Australia Adelie Land (France) Afghanistan Aland Islands Albania Algeria Americas Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Argentinian Antarctic Territory Armenia Aruba At Sea Australia (includes External Territories) Australian Antarctic Territory Australian External Territories, nec Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia, Plurinational State of Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Brazil British Antarctic Territory Brunei Darussalam Bulgaria Burkina Faso Burma (Republic of the Union of Myanmar) Burundi Cambodia Cameroon Canada Cape Verde Caribbean Cayman Islands Central African Republic Central America Central Asia Central and West Africa Chad Chile Chilean Antarctic Territory China (excludes SARs and Taiwan) Chinese Asia (includes Mongolia) Colombia Comoros Congo, Democratic Republic of Congo, Republic of Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Eastern Europe Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland Former Yugoslav Republic of Macedonia (FYROM) France French Guiana French Polynesia Gabon Gambia Gaza Strip and West Bank Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Holy See Honduras Hong Kong (SAR of China) Hungary Iceland Inadequately Described India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Japan and the Koreas Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of (North) Korea, Republic of (South) Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau (SAR of China) Madagascar Mainland South-East Asia Malawi Malaysia Maldives Mali Malta Maritime South-East Asia Marshall Islands Martinique Mauritania Mauritius Mayotte Melanesia Mexico Micronesia Micronesia, Federated States of Middle East Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Africa North Africa and the Middle East North-East Asia North-West Europe Northern America Northern Europe Northern Ireland Northern Mariana Islands Norway Oceania and Antarctica Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Polynesia (excludes Hawaii) Polynesia (excludes Hawaii), nec Portugal Puerto Rico Qatar Queen Maud Land (Norway) Reunion Romania Ross Dependency (New Zealand) Russian Federation Rwanda Samoa Samoa, American San Marino Sao Tome and Principe Saudi Arabia Scotland Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South America South America, nec South Eastern Europe South Sudan South-East Asia Southern Asia Southern Europe Southern and Central Asia Southern and East Africa Southern and East Africa, nec Southern and Eastern Europe Spain Spanish North Africa Sri Lanka St Barthelemy St Helena St Kitts and Nevis St Lucia St Martin (French part) St Pierre and Miquelon St Vincent and the Grenadines Sub-Saharan Africa Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom, Channel Islands and Isle of Man United States of America Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Vietnam Virgin Islands, British Virgin Islands, United States Wales Wallis and Futuna Western Europe Western Sahara Yemen Zambia Zimbabwe Type your address:* Start typing your street number and address to look it up - you can then enter any building or unit details separately. Try to enter street number and street name to lookup your address. You will then be able to provide a floor or unit if required. Postal delivery information: Building / Property name: Flat / Unit details: Street or lot number:* Street name:* Suburb, locality or town:* Postcode: State / territory: Address not right? Show address fields Identity Verification Please select which type of identity document to use:* Please select Driver's Licence Medicare Card Passport (Australian) Non-Australian Passport (with Australian Visa) Birth Certificate (Australian) Certificate of Registration by Descent Citizenship Certificate ImmiCard Please make sure the details match exactly as they appear on the document. Driver's Licence Details State / territory:* Please select Australian Capital Territory New South Wales Northern Territory Queensland South Australia Tasmania Victoria Western Australia Registration number:* Medicare Card Details Does your name appear on one line?* Yes No If you name is very long and appears on more than one line. Name on card:* Name on card:* Name on card:* Name on card:* Medicare card number:* Medicare reference number:* Please select 1 2 3 4 5 6 7 8 9 Medicare colour:* Please select Green Yellow Blue Medicare expiry:* Australian Passport Details Australian passport number:* Non-Australian Passport (with Australian Visa) Details Foreign passport number:* Country of Issue:* Please type then select Luxembourg Macau (SAR of China) Madagascar Mainland South-East Asia Malawi Malaysia Maldives Mali Malta Maritime South-East Asia Marshall Islands Martinique Mauritania Mauritius Mayotte Melanesia Mexico Micronesia Micronesia, Federated States of Middle East Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Africa North Africa and the Middle East North-East Asia North-West Europe Northern America Northern Europe Northern Ireland Northern Mariana Islands Norway Oceania and Antarctica Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Polynesia (excludes Hawaii) Polynesia (excludes Hawaii), nec Portugal Puerto Rico Qatar Queen Maud Land (Norway) Reunion Romania Ross Dependency (New Zealand) Russian Federation Rwanda Samoa Samoa, American San Marino Sao Tome and Principe Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom, Channel Islands and Isle of Man United States of America Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Vietnam Virgin Islands, British Virgin Islands, United States Wales Wallis and Futuna Western Europe Western Sahara Yemen Zambia Zimbabwe Saudi Arabia Scotland Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South America South America, nec South Eastern Europe South Sudan South-East Asia Southern Asia Southern Europe Southern and Central Asia Southern and East Africa Southern and East Africa, nec Southern and Eastern Europe Spain Spanish North Africa Sri Lanka St Barthelemy St Helena St Kitts and Nevis St Lucia St Martin (French part) St Pierre and Miquelon St Vincent and the Grenadines Sub-Saharan Africa Sudan Suriname Djibouti Dominica Dominican Republic Eastern Europe Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland Former Yugoslav Republic of Macedonia (FYROM) France French Guiana French Polynesia Gabon Gambia Gaza Strip and West Bank Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Holy See Honduras Hong Kong (SAR of China) Hungary Iceland Inadequately Described India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Japan and the Koreas Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of (North) Korea, Republic of (South) Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Prefer not to say Adelie Land (France) Afghanistan Aland Islands Albania Algeria Americas Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Argentinian Antarctic Territory Armenia Aruba At Sea Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia, Plurinational State of Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Brazil British Antarctic Territory Brunei Darussalam Bulgaria Burkina Faso Burma (Republic of the Union of Myanmar) Burundi Cambodia Cameroon Canada Cape Verde Caribbean Cayman Islands Central African Republic Central America Central Asia Central and West Africa Chad Chile Chilean Antarctic Territory China (excludes SARs and Taiwan) Chinese Asia (includes Mongolia) Colombia Comoros Congo, Democratic Republic of Congo, Republic of Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Denmark Birth Certificate Details State:* Please select Australian Capital Territory New South Wales Northern Territory Queensland South Australia Tasmania Victoria Western Australia Registration date:* Registration number:* Printed date:* Registration year:* Certificate number:* Certificate of Registration by Descent Details Acquisition date:* Citizenship Certificate Details Acquisition date:* Stock number:* ImmiCard Details ImmiCard number:* I confirm that I provide Platinum Safety and Training with permission to apply for a USI for me using the identification that I have supplied and to use the USI during my studies with Platinum Safety and Training.*