Dog Registration -Further Dog Details
(attach to Dog Registration Form)
Name of Dog
Age
Sex
Female
Male
Primary Breed
Primary Colour
Has the dog any distinguishing marks?
(If so, please describe)
Microchip Details (certicate required)
If Yes,
Council
Tag No
Is the dog de-sexed? (Certicate Required - Urban Only)
Is the dog currently registered with another Council?
No
Yes
No
Yes
Secondary Breed
Secondary Colour
Name of Dog
Age
Sex
Female
Male
Primary Breed
Primary Colour
Has the dog any distinguishing marks?
(If so, please describe)
Microchip Details (certicate required)
If Yes,
Council
Tag No
Is the dog de-sexed? (Certicate Required - Urban Only)
Is the dog currently registered with another Council?
No
Yes
No
Yes
Secondary Breed
Secondary Colour
Name of Dog
Age
Sex
Female
Male
Primary Breed
Primary Colour
Has the dog any distinguishing marks?
(If so, please describe)
Microchip Details (certicate required)
If Yes,
Council
Tag No
Is the dog de-sexed? (Certicate Required - Urban Only)
Is the dog currently registered with another Council?
No
Yes
No
Yes
Secondary Breed
Secondary Colour
Owner Name
Name of Dog
Age
Sex
Female
Male
Primary Breed
Primary Colour
Has the dog any distinguishing marks?
(If so, please describe)
Microchip Details (certicate required)
If Yes,
Council
Tag No
Is the dog de-sexed? (Certicate Required - Urban Only)
Is the dog currently registered with another Council?
No
Yes
No
Yes
Secondary Breed
Secondary Colour
Name of Dog
Age
Sex
Female
Male
Primary Breed
Primary Colour
Has the dog any distinguishing marks?
(If so, please describe)
Microchip Details (certicate required)
If Yes,
Council
Tag No
Is the dog de-sexed? (Certicate Required - Urban Only)
Is the dog currently registered with another Council?
No
Yes
No
Yes
Secondary Breed
Secondary Colour
Name of Dog
Age
Sex
Female
Male
Primary Breed
Primary Colour
Has the dog any distinguishing marks?
(If so, please describe)
Microchip Details (certicate required)
If Yes,
Council
Tag No
Is the dog de-sexed? (Certicate Required - Urban Only)
Is the dog currently registered with another Council?
No
Yes
No
Yes
Secondary Breed
Secondary Colour
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