Customer Registration (E Form) – BitRocket Bitcoin ATM

New Customer Registration

Thank you for choosing BitRocket! We are excited to welcome you onboard. Please take a few moments to complete the registration form below. This normally take a few minutes to process. Keep an eye on incoming SMS and email messages once submitted.

Your details are encrypted and checked against a third party document verification system, and not shared outside our systems with anyone. Your personal details and day-to-day transactions remain private, see our Privacy Policy. By using this form you agree to have your ID document verified with the document issuer through a document verification system.

This is once-off and you can use any BitRocket ATM freely afterwards with just your mobile.

About You

First Name and Middle Names (match ID)

Last Name (Family Name)

Phone Number (IMPORTANT: Must be able to receive an SMS for approval and when physically at any BitRocket ATM Machine.)

Email (Useful for follow-up questions.)

Residential Address

Unit Number and Street Address

Suburb

City

State

ZIP / Postal Code

Country

Identification Details

We are required by Australian regulations to check you have valid ID. To ensure a smooth and swift registration process, kindly attach a clear photo of your identification document. If your ID is a driver's license, please include both the front and back photos to complete the ID verification.

Type of ID

ID Number

Card Number (This is required for checking a driver’s license. If you are not sure where to locate the card number on your driver’s license, refer to this website.)

Date of Birth

Upload Photo ID (and reverse of card if applicable)

New Customer Registration

About You

Residential Address

Identification Details

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