Dynamic EVSE registration form

Please provide the following information to register your dynamic connection for Electric Vehicle Supply Equipment (EVSE) with our dynamic server.

Please note: You can submit this registration form prior to the installation of the EVSE, to allow for the connection to be tested whilst installing the EVSE.

By submitting this information, the installer and customer are assumed to have read and agreed with the Terms and Conditions (PDF 314.7 kb) for dynamic management of the EVSE.

Please view our privacy statement regarding the collection of data.

Required fields are marked with an asterisk ( * ).

Customer Details

First name

Last name

Street address

Suburb/town

State *

Postcode

Phone number Please enter the best business hours contact number as 10 digits with no spaces

Email address Please note: A receipt of this form submission will be emailed to this address and the installer email address below.

National Metering Identifier (NMI) The NMI is a 10 or 11 digit number that can be found on the premises power bill

EV Details

EV charger make

EV charger size (kW)

Installation date of EV charger

What type of connection does the premises have? *

Installer & Installation Details

Installer first name

Installer last name

Installer phone number Please enter the best business hours contact number as 10 digits with no spaces

Installer email address Please note: A receipt of this form submission will be emailed to this address and the customer email address above.

SEP2 Client Provider *

QGE Gateway only - Long Form Device Identifier If you selected QGE Gateway above - please enter 40 characters with a dash after each 4 characters, for example 3E4F-45AB-31ED-FE5B-67E3-43E5-E456-2E31-984E-23E5

Does the premises have an existing dynamic connection for embedded generation (such as rooftop solar)? *

EV Terms & Conditions

Please acknowledge that

I have read and I am aware of my obligations and terms and conditions on the EV charging and connections web page.

Dynamic EVSE registration form

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