CHANGE OF

OWNERSHIP REQUEST
A FEW THINGS YOU NEED TO KNOW BEFORE THE CHANGE OF OWNERSHIP CAN TAKE PLACE
This form allows you to transfer ownership of a
Virgin Mobile account including Mobile Handsets or
Broadband Services to another person. Alternatively,
you can request the Change of Ownership over the
phone by contacting our customer service team
on 1300 555 100. To complete the request over the
phone both the current and new customer will need
to be available for a conference call.
Please read the information enclosed, complete & sign
the forms, then post them (along with the relevant ID
documents) to:
Virgin Mobile Admin Team
Reply Paid 71531
ROYAL EXCHANGE
NSW 1224
Youll need to pay any outstanding bill/s before the
transfer takes place. After the transfer youll be billed
for any other charges that have not yet been billed
and that are incurred up until the date of the transfer.

If transferring a Virgin Broadband Service, the new

owners residential address MUST be in our coverage
area. This can be checked at virginmobile.com.au/
Shop/BroadbandCoverageCheck/ or by calling
1300 555 100.
If, for any reason the Change of Ownership is declined
by Virgin Mobile the proposed new owner will receive
a letter advising them of this and the current owner
will continue to receive bills as per usual.
The new owner will need to pass a credit check. See
Sections 4 for details.
Legal information must be read at virginmobile.com.
au/terms-and-conditions/
Once we receive your completed and signed forms,
the Change of Ownership can take up to 14 working
days to transfer.
Regards
The Virgin Mobile Team

SECTION 1: TRANSFER DETAILS

Both customers must read, complete, accept & sign this section

SERVICE TRANSFER DETAILS

EQUIPMENT TRANSFER DETAILS (if applicable)

Number to be transferred:

If the service to be transferred has an active contract,

please select one option below:

The service type of the number to be transferred is

currently a:
PREPAID top ups are applied before use
POSTPAID a bill is received each month

Cancel the contract before the transfer & the

current customer will pay the amount
Keep the contract the same & the new customer
will continue the monthly instalments
Cancel the contract after the transfer & the new
customer will pay the amount
Current customer signature

Phone or modem IMEI Number:

____________________________________________
Usually 15 digits long. This can be found on your mobile phone by
pressing *#06# or under the base of your Broadband modem.

Preferred transfer date

Must be at least 14 days from date you send your application.

Date
New customer signature
____________________________________________
Date

SECTION 2: CURRENT CUSTOMER DETAILS

Current customers must read, complete, accept & sign this section
Given name/s

Place of birth:

Surname

Mothers maiden name:

Address:



State:______________ Postcode:
Contact number:

Email address:

I request that my Mobile or Broadband service be

transferred to the person named in Section 3 - see
following page. I understand that once the service has
been transferred, any service charges paid in advance
or any service benefits will be passed on to the new
customer. Until the date the transfer takes place, I am
responsible for all charges to the account.
Current customer signature:




Account PIN

Date

Date of birth

SECTION 3: NEW CUSTOMER DETAILS

New customers must read, complete, accept & sign this section

PERSONAL DETAILS

SECURITY DETAILS

I have or previously had an account with

Virgin Mobile
Account number 
Title:
Mr
Miss

These details are important and will be used to access

your account
Select a 6 digit Account PIN
Must be numbers only

Mrs
Dr

Ms
Other______________

Date of birth

Given name/s_________________________________

Place of birth:

Surname_____________________________________

Residential address:
____________________________________________
State:_____________ Post code:__________________
Postal address:
____________________________________________
State:_____________ Post code:__________________

Mothers maiden name:



IDENTIFICATION
INCOME

Provide one

PRIMARY
Provide one

Landline number*
Home

Mobile number

SECONDARY 1
Provide one

Where we send you bill notification each month if you select the email option.

Must show income, no internet statements

Passport OR
Driver Licence
VISA OR
Medicare

Must be a copy of the actual card

Where we send you bill notification each month if you select the text option.

Email address_________________________________

3x most recent bank statements

Front & back required

*Must be provided, if no home landline, provide an alternative landline.

Work

3x most recent pay slips OR

SECONDARY 2
Provide all

ATM card or bank card AND

Utility invoice

Must be recent & show your name & address

SECTION 4: OPTIONS & DECLARATION

New customer must read, complete, accept & sign this section

SERVICE OPTIONS

CHOWN FEE

When the transfer is complete I want the service to be.

Please tick one box only:

A CHOWN Fee of $25 applies to all Postpaid transfers.

This will be applied to your Virgin Mobile account
once the CHOWN has completed. Deceased estates
are exempt from the CHOWN fee - in such cases the
application will need to include a copy of the Death
Certificate and proof of Power of Attorney.

PREPAID top ups are made before using the

service (Section 5 not required)
POSTPAID a bill is received each month
(Please complete section 5)

PRIVACY STATEMENT

BILLING OPTIONS
Online billing is a paper free method. Please select one
of the following options:
Email Notification
An email will be sent to you to let you know when
the bill is ready to view online.
Text Notification
A text message will be sent to you to let you know
when the bill is ready to view online.
Paper Bills
A paper bill will be sent to you, you understand and
agree to pay a fee of $2.20 for each paper bill.

VALUE ADDS

If the service is Postpaid there may be existing ValueAdds on the service which you can choose to retain or
cancel. If retaining, charges will apply. Please tick one
box only:
I agree to retain existing Value-Adds
I want to cancel any existing Value-Adds

Your information is collected and used in accordance

with our Privacy Policy. Just go to virginmobile.com.au
and check it out before giving us your completed
application. If you have any questions about the Policy,
call us on 1300 555 100.
Are you happy to receive the occasional email & SMS
from us about special offers (like upgrade deals) and
freebies? We will not pass your details on to any 3rd
parties, or bombard you with useless information.
Yes

No

DECLARATION
The information I have provided is correct and
complete. I have read the Privacy Policy and the Credit
Check Disclaimer and I agree to the collection and use
of my information in accordance with their terms.
New customer signature
_____________________________________________
Date

SECTION 5: POSTPAID EXTRA INFORMATION - FILL IN ONLY IF REQUESTING FOR POSTPAID

New customer to fill in only if must read, complete, accept & sign this section

RESIDENTIAL DETAILS

EMPLOYMENT DETAILS

At your current residential address are you:

If youre a student please specify your causal/part

time role as occupation. If youre a full time student,
retired, pensioner, home duties or unemployed please
specify how long you have been in that status.

Renting

Buying

Owner

Boarding

With parents

Other____________

Time at current address: ______ years & _____ months

Previous residential address:


State:_____________ Post code:__________________
Time at previous address: _____ years & _____ months

Current employment type:

Full time
Part time
Casual
Seasonal
Self tmployed
Contract
Retired
Other 
Current occupation:
Company name:
Time at current occupation: _____ years & ____ months
Previous occupation:

Driver licence number:

Company name:

Passport number:

Time at previous occupation: _____ years & ____ months

CREDIT CHECK DISCLAIMER

Virgin Mobile may give information about you to a
credit reporting agency to obtain a consumer credit
report about you and/or allow the credit reporting
agency to create or maintain a credit information file
containing information about you. This information
may include the details given by you on this form,
the fact that you have applied for credit, information
regarding any payments that are more than 60 days
overdue or any cheques which have been dishonoured
more than once or information that, in the opinion of
Virgin Mobile you have committed a serious credit
infringement (that is, acted fraudulently or shown an
intention not to comply with your credit obligations).
This information may be given before, during or after
the provision of credit to you. This disclaimer applies
whether or not your application for credit is approved.

DECLARATION
The information I have provided is correct and
complete. I have read the Privacy Policy and the Credit
Check Disclaimer and I agree to the collection and use
of my information in accordance with their terms.
New customer signature
_____________________________________________
Date