APPLICATION FOR KILLESTER BUS PASS

Please complete the form below and return to ccirocco@killester.vic.edu.au

BUS ROUTE (PLS SELECT) ENDE KEYSBOROUGH/DINGLEY LYNBROOK/NARRE WS
STUDENT NAME: YEAR/CLASS:

STUDENT NAME: YEAR/CLASS:

WHICH BUS STOP?

PARENT NAME:

ADDRESS:

POSTCODE:

• The Killester school bus travels along the route mapped on our website
• The cost of this bus service is for the allocation of a place on the bus whether it is used one way or only a few
days per week. Payment of $290.00 per student will be direct debited in the school holidays prior to each Term.
A bus pass will be forwarded to your daughter’s Homeroom teacher and will be handed out on the first day of
each term. It should be noted that the NULINE bus service is heavily subsidised by the College to ensure costs to
parents are maintained at a reasonable level.
• Students MUST always carry their bus pass with them and show the bus driver on request.

AUTHORISATION FOR PAYMENTS By Direct Debit from bank account or credit card

Payments will be debited in school holidays from account listed below prior to each term commencing

Bank Details for Direct Debit

Account Name:

BSB No. Account No.

Credit Card for direct debit

Card No.

Expiry: Cardholder Name:

I/We authorise Killester College to arrange through its own financial institution to debit from my/our nominated account or
credit card as specified. By signing this authorisation you acknowledge having read and understood the terms and
conditions governing the debit arrangement between you and Killester College as set out in the Direct Debit Request
Service Agreement available at www.killester.vic.edu.au

Parent / Guardian Date

Please Note: This payment method will be for the duration of 2024, unless we are advised of discontinuation of
your use of the bus prior to the end of the term in progress.

It is your responsibility to notify the College in a timely manner of new card expiry dates/details or any new bank
account numbers.