Shell Fuel Card Application Form

Shell Fuel Card Application Form
Before completing this form, please ensure you are familiar with the warnings at Onefuel Card Security Advice.
Account / Business Name:*
UBT Customer Code:*
Contact Name:*

First NameLast Name
Contact Phone:*

Area CodePhone Number
Contact Email Address:*
Do you have an existing OneFuel account number?*

NoYes
Card Details

For security reasons, it is mandatory that a PIN is used with this card. Please enter a 4-digit PIN which will already be loaded on the card when you receive it. Please do not request PINs such as 1111 or 1234.
PIN to Preload*
Driver Name and/or Rego*
Vehicle make code (optional)
Vehicle type code (optional)
Vehicle colour code (optional)
NOTE - we are currently unable to offer limits for Shell (Viva Energy) cards.
Tip - restrict the permissions to what is actually needed for this card - this will minimise your exposure in the event of misuse/theft.
Requirement at purchase (optional)

Odo reading
Permissions:*

All productsAuto careAuto oilCar washShopUnleaded Petrol (includes E10 and 91)Premium Unleaded (includes 95 and V-Power 98)Diesel / AdBluePremium Diesel (requires Diesel / AdBlue)Autogas / LPG
Acceptance of responsibility*

I accept full responsibility for the usage of this Onefuel card
Shell Card Terms & Conditions
Acceptance of Shell Card Terms & Conditions*

I have read and agree to be bound by the Shell Card Terms & Conditions.
Should be Empty: