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Eligibility number - This is the number on your eligibility card. For example Centrelink Pensioner Concession Card, DVA gold or white card (for hearing loss).
Make sure that you enter the number only, without the CRN and dashes (-). Note that some eligibility numbers contain letters as well, for example Centrelink Concession Number: 123456789X, DVA Number: XXX123456
Given name - Enter your first name.
Family name - Enter your last name / surname.
Date of birth - Dates are split into three separate fields for date, month and year, for example 15 Sept 1933. Select the date using the day, month and year fields.