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Submitted by thomas.hanson@…
on
Customer ID Image
Customer ID Individual Reference Number
Mask
9
Image Highlight
6.6%, 48.7%, 8.8%, 39.2%
Pattern
^[1-9]$
Validation Message
Must be a single digit from 1-9 found to the left of your name
Field Description
Must be a single digit from 1-9 found to the left of your name
Customer ID Given Name
Customer ID Middle Name
Customer ID Family Name
Customer ID Full Name 1
Image Highlight
14.1%, 51.3%, 65.6%, 11%
Pattern
^[A-Za-zÀ-ÿ\s\-'\.]{1,27}$
Validation Message
Required. Max 27 characters
Field Description
First line next to your reference number on Medicare Card - must match exactly
Customer ID Full Name 2
Image Highlight
12.8%, 50.3%, 76.4%, 11.5%
Pattern
^$|^[A-Za-zÀ-ÿ\s\-'\.]{1,25}$
Validation Message
Max 25 characters
Field Description
Second line (if present) on Medicare Card next to your reference number. No more than 25 characters
Customer ID Full Name 3
Image Highlight
11.8%, 49.2%, 79.3%, 12.6%
Pattern
^$|^[A-Za-zÀ-ÿ\s\-'\.]{1,23}$
Validation Message
Max 23 characters
Field Description
Third line on Medicare Card (if present) next to your reference number. No more then 23 characters
Customer ID Full Name 4
Image Highlight
11.5%, 50.3%, 70.1%, 12.5%
Pattern
^$|^[A-Za-zÀ-ÿ\s\-'\.]{1,21}$
Validation Message
Max 21 characters
Field Description
Fourth line on Medicare Card (if present) next to your reference number. No More then 21 characters
Customer ID Birth Date
Include Day
On
Customer ID Gender
Customer ID Travel Document Number
Customer ID Expiry Date
Include Day
On
Customer ID Licence Number
Customer ID Card Number
Mask
9999 99999 9
Image Highlight
24.6%, 31.7%, 50.2%, 17%
Pattern
^(?=(?:[^0-9]*[0-9]){10}[^0-9]*$)(?=(?:[^ ]* ){2}[^ ]*$)[0-9 ]{12}$
Validation Message
Must be exactly 10 digits
Field Description
Must be exactly 10 digits
Customer ID Card Expiry
Include Day
Off
Date minimum
today
Customer ID Document Type
Medicare
Customer ID Card Type
Green