THE KENNEL UNION OF SOUTHERNAFRICA
6TH FLOOR, ‘BREE CASTLE’, 68 BREE STREET, CAPE TOWN, 8001 P.O. BOX 2659, CAPE TOWN,8000
TEL. (021) 423-9027 FAX: (021) 423-5876 EMAIL: WEB:
APPLICATIONTOREGISTERASINGLEDOG–BREEDANDFIELDTRIALREGISTERSONLY
Microchip Implantation is mandatory for registrationpurposes
IMPORTED DOGS (including registered in Zimbabwe). Applicant(s) must be a current member ofKUSA.
1.Breed register. (Export or Certified Pedigree issued by Control Body of country from which exported as well as Certificates of ownership are required without exception) EX GERMANY: Club Certified Pedigrees must be cleared by VDH | Ex FCI COUNTRIES: Refer to KUSA Office fordetails.
Method ofPayment:
BOXERS – Ex Federation of Boxer Clubs of Southern Africa. Applicant(s) must be a current member ofKUSA.
2.Breed Register. (Certified Three Generation Pedigree from FBCSA including registration numbers arerequired.)
Note:Croppedeareddogscannotberegistered unlessitcanbeproventhattheywerecroppedoutsideSouthernAfricapriortoinitialimportation.
CREDIT CARDNUMBER
POINTERS & SETTERS – National Field Trial Association. Applicant(s) must be a current member ofKUSA.
4(a)a) Breed Register (Certified 3 generation NFTA Pedigreeincluding registration numbers arerequired.)
4(b)b) Field Trial Register. (Attach Certified NFTA Pedigree giving registration numbers where known) Note: Dogs on the Field Trials Register may beenteredincompetition for Field Trialsonly.
C V CExpiryDate
Card HolderName
(PleasePrint)------
CardHolderSignature------
BREED
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HDGRADING EDGRADING
Amount Remitted=
Date
DATEOF
BIRTHDDMMYYSEXM/FCOLOUR
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TATTOONO
MICROCHIP NO.
AttachCertificate
Microchip ImplantationMandatory
NAME OFDOG
INSERT REGISTEREDAFFIX (KENNEL NAME) FOR USE AS SUFFIXHERE
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SIRENAME
REG. NO. (IF APPLICABLE)
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BREEDER(S) NAME (S) & ADDRESS
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DAMNAME
REG. NO. (IF APPLICABLE)
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NAME OFCURRENT / TITLE …………..…… / FIRSTNAMES / …………………………………………………………………………. / NAME OFCURRENT / TITLE ……………………. / FIRST NAMES ………………………………………………………………………………OWNER(1) / OWNER(2)
SURNAME ……………………………………………………..MEMBERNO.SURNAME …………………………………………………………..MEMBERNO.
POSTALADDRESS OF OWNER(1)
TEL.CONTACT
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…………………………………………………………………………Postal Code:………………………………………..……
EMAIL ADDRESS :……………………………………………………………………………………………………….…….
POSTALADDRESS OF OWNER(2)
TEL.CONTACT
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…………………………………………………………………………Postal Code:……………………………………….………
EMAIL ADDRESS :…………………………………………………………………………………………………….…………..
NUMBERS(H)……………………………………………………………………… CELL:……………………………………………….NUMBERS(H) ……………………………………………………………………… CELL:……………………………………………….
SIGNATURE
(W)……………………………………………………………………….
DATE
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SIGNATURE
(W)……………………………………………………………………….
DATE
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Ifapplicant is a minorunder 18 years legal guardian tosign here:Date:Ifapplicant is a minorunder 18 years legal guardian tosign here:Date:
Guardian I.D.No:
CONSTITUTION, Article 21 – JURISDICTION OF KENNELUNION
Guardian I.D.No:
Every person (a) making application to the Kennel Union for the registration, recording or transfer of a dog or the registration of an affix; shall be deemed thereby to have submitted to and agreed to be bound by this Constitution and all Schedules, with particular reference to Schedule 9, Code of Ethics,Rules,RegulationsandBy-Lawsframedthereunder,bothinrespectofhimselfandinrespectofeverydogownedbyhim,registeredorrecordedinhisnameorowned,registeredandrecordedbyhimjointlywithanotherorothersorownedorregisteredorrecordedinthenameofanominee, or exhibited or handled byhim.
V2.04-2016