Karting Australia Licence System

Apply for competition licence

The symbol indicates a mandatory field.

Personal Details
Given Name:
Middle Name:
Family Name:
Date Of Birth:
Gender: male female
Contact Details
Phone (home):
Phone (work):
Phone (mobile):
Fax:
Email:
Confirm Email:

You do not have to provide an email address, but please provide one if possible. If you forget your password we can email a reminder to your email address.

Residential Address
Address Line 1:
Address Line 2:
Suburb/Town:
Postcode:
State:
Postal Address

Same as residential address

Address Line 1:
Address Line 2:
Suburb/Town:
Postcode:
State:
Competition Details
Preferred Class:
Type of Licence
Licence Type:
  Determines Payment Amount
Club Details
Club where you will apply for membership:
Payment Details
Amount: Method:
Order no:
Cheque no:
Card type:
Card number: Security code: (info)
Card name: Card expiry:
ID:
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
You must clearly state your payment reference:
Bank:
Name:
BSB:
Account:
Passport photo (optional)

You may attach a passport-sized photograph of yourself here. Alternatively, you may provide the photo to your local club.

Conditions
Only tick this Box if you are submitting a Previous Motorsport Experience Application Form.
I hereby apply for the issue of an KA Kart Licence for use as a competitor/driver at KA licenced circuits, for competition 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 6 may apply.
I accept the insurance waiver (click here to see the insurance waiver in a new screen)