ApplicationforaDogBreedingEstablishmentLicence

TheWelfareofAnimals(DogBreedingEstablishmentsandMiscellaneousAmendments)Regulations(NorthernIreland)2013
ApplicationforaDogBreedingEstablishmentLicence
PleaseuseBLOCKLETTERS
Detailsofapplicant
Title(Mr,Mrs,etc) / Forename/s / Surname
Address / Postcode
Contacttelephonenumber
Emailaddress(ifavailable)
Fulladdressofeachpremisescomprisingthebreedingestablishment.
Numberofbreedingbitchesover6monthstobekeptonthebreedingestablishmentunderthelicence.
Thenumberofotherdogsover6monthsoldtobekeptonthebreedingestablishmentunderthelicence.
NameandaddressofownerandnumberofbreedingbitcheskeptonthepremisesbutnotownedbythekeeperoftheEstablishment
IsacontrolconditionnoticeinforceattachingcontrolconditionsunderArticle30A(2)oftheDogsOrder(NorthernIreland)1983toapreviousdoglicenceheldinrespectofanybreedingbitchorstuddog / Yes/No
IfYes,pleasegivetheserialnumberofnotice:
Dateofexpiryofprevioussingle/block/breedingestablishmentlicence(ifany).
NOTE:-Theinformationgivenabovemaybesubjecttoverification.
NominatedVeterinaryPracticenameandaddress:
Ienclosetheappropriatefeeof£ for breedingbitchesover6monthsold.
Ideclarethattheinformationgivenaboveiscorrectineveryrespect.Iamnotunder16yearsofageandIhavenotbeendisqualifiedfromkeepinganimalsunderanylegislation.Ikeepontheabovebreedingestablishmentthreeormorebreedingbitchesand*,
(a)breed3ormorelittersofpuppiesinany12monthperiod;
(b)advertise3ormorelittersofpuppiesforsaleinany12monthperiod;
(c)supply3ormorelittersofpuppiesinany12monthperiod;or
(d)advertiseabusinessofbreedingorsellingpuppies;and
*(deletewhicheverconditionisnotapplicable)
ImeetalltherequirementsspecifiedinSchedule4oftheabovenamedRegulations.Ithereforeapplyforalicence.
Officeuseonly
Feepaid / £
Signed:______
Eligibilitycertified / Yes/No
Date:______/ LicenceNo.issued

DATA PROTECTION ACT 1998

Lisburn & Castlereagh City Council collects the data on this form for the purposes of the management and application of the Dogs (Northern Ireland) Order 1983. This data may also be passed to other relevant Government agencies.

Please return this form, when completed, together with the licence fee to:

Lisburn & Castlereagh City Council, Bradford Court, Upper Galwally, Belfast, BT8 6RB