Authorised Airport Passenger Transport Vehicle Application Form

Please ensure you have read and understood the conditions outlined in the following documents prior to completing the declaration at the end of this form.

Company *

Primary Contact *

Secondary Contact

Address *

Phone *

Mobile *

Fax

Email *

PTV Authorisation number *

Proof of PTV Authorisation *

Please upload a copy of your PTV authorisation
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png txt pdf doc docx.

Expiry Date *

Month

Day

Year

Vehicle type/model

Vehicle registration *

Number of seats *

Conditions of use - please read the Karratha airport passenger transport vehicle permit conditions of use linked at the beginning of this form *

I agree to the Karratha airport passenger transport vehicle permit conditions of use

Policy - Please read the Karratha airport passenger transport vehicle operators policy AP-01 linked at the beginning of this form *

I agree to the Karratha airport passenger transport vehicle operators policy AP-01

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.