Vault Card Application Form

1. Please fill in the information below.
2. An item marked with * is needed.
3. Please draw your signature at the bottom of the screen.
4. Click on “Submit” once you are ready.
5. You will be redirected to a confirmation page once the application has been sent to us.

First Name*(Required)

Last Name*(Required)

Date of Birth*(Required)

Phone Number*(Required)

Email*(Required)

Address*(Required)

Type of Card*(Required)

Digital

Physical

Please select only one of the options above
If you have opted to receive a Physical Vault Card, we have received your request and a physical card will be issued to you shortly. We will keep you updated on the progress.

Terms & Conditions

Any violations of the outlined conditions or breaches of the NPT Code of Conduct may lead to the suspension of a Vault Card.

1. The secure storage of the Vault Card and protection against improper use is imperative.
2. The use of the Vault Card for purchasing of items such as alcohol, tobacco, gambling, and online gambling products is strictly prohibited.
3. In case of a lost card, immediate reporting to Four Post Office is required, and a new Application Form must be completed for the issuance of a replacement card.
4. If the Card Holder decides not to use the card anymore, the Vault Card can be returned to any Four Post Office.
5. Non-compliance with any of these conditions may result in the suspension of the card facility.
6. To inquire about balances, please access the www.vaultreloadable.com.au (for physical card holders) or Vault payments App (for digital card holders).

by signing this form, declare that I

(a) acknowledge that I am an approved Beneficiary of NPT;
(b) acknowledge that I have read and I understand these Terms & Conditions;
(c) acknowledge that my mobile phone is registered in my name;
(d) understand that only approved balances will be loaded to the Vault Card;
(e) understand that ATM withdrawals for cash are not accessible;
(f) acknowledge that use of the Vault Card must align with the Njamal People’s Trust Code of Conduct;
(g) have provided true and correct information on this form;
(h) acknowledge that the Vault Card issued to me and all purchases made using it are my responsibility;
(i) acknowledge that my personal information is used for identification and security purposes only.

Signed:*(Required)

Phone

This field is for validation purposes and should be left unchanged.