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Submitted by thomas.hanson@…
on
Customer ID Image
Customer ID Individual Reference Number
Mask
9
Image Highlight
7.2%, 51.3%, 6.9%, 34.6%
Pattern
^[1-9]$
Validation Message
Must be a single digit from 1-9
Field Description
Enter the single digit (1-9) that appears to the left of your name on the card
Customer ID Given Name
Customer ID Middle Name
Customer ID Family Name
Customer ID Full Name 1
Image Highlight
12.8%, 51.3%, 81%, 10%
Pattern
^[A-Za-z\s\-'.]{1,27}$
Validation Message
First name line is required, max 27 characters, letters/spaces/hyphens/apostrophes/periods only
Field Description
Enter the first line of your name exactly as it appears on your Medicare card (max 27 characters)
Customer ID Full Name 2
Image Highlight
12.8%, 47.7%, 84.9%, 15.1%
Pattern
^[A-Za-z\s\-'.]{1,27}$
Validation Message
Max 25 characters, letters/spaces/hyphens/apostrophes/periods only
Field Description
Enter the second line of your name if present on your Medicare card (max 25 characters)
Customer ID Full Name 3
Image Highlight
13.8%, 51.3%, 77.3%, 10.5%
Pattern
^[A-Za-z\s\-'.]{0,23}$
Validation Message
Max 23 characters, letters/spaces/hyphens/apostrophes/periods only
Field Description
Enter the third line of your name if present on your Medicare card (max 23 characters)
Customer ID Full Name 4
Image Highlight
13.4%, 49.2%, 83.3%, 12.6%
Pattern
^[A-Za-z\s\-'.]{0,21}$
Validation Message
Enter the fourth line of your name if present on your Medicare card (max 21 characters)
Field Description
Max 21 characters, letters/spaces/hyphens/apostrophes/periods only
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
24.9%, 28.1%, 50.2%, 21.6%
Pattern
^(?=(?:[^0-9]*[0-9]){10}[^0-9]*$)(?=(?:[^ ]* ){2}[^ ]*$)[0-9 ]{12}$
Validation Message
Must be exactly 10 digits
Field Description
Enter the 10-digit Medicare card number (numbers only)
Customer ID Card Expiry
Include Day
On
Date minimum
today
Customer ID Document Type
Medicare
Customer ID Card Type
Blue