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Name of animal: All animals must have a prefix or suffix Please print Clearly
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Sex: ……….……… Colour: ………………………………………………………………………………………...
Coat at time of registration: Circle applicable: Foal / summer / winter
Compulsory identification Brand: (Near Side) …………..…… (Off Side) …….…….……
or Microchip number: ……………………………..…… Location: ……………………………..……..............
Brands, Markings: Note anything that will aid in identification. If available, include numbers and original registration certificates of parents if they are not already registered in this registry to enable the Registrar to fill in the full pedigree. Unless otherwise noted, all donkeys are assumed to have a cross and stripe. Note absence of these if applicable. Note star, leg stripes etc. Include photos (one full side view of each side, right and left). ANIMALS SHOWING EXTREME DISPROPORTIONAL CHARACTERISTICS MUST BE REVIEWED ON AN INDIVIDUAL BASIS.
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Date of birth: ……/……/20… Height: ………………………… at Age: …………… If over 3 years, official D&M Soc. height certificate MUST be supplied
Place of birth: ……………………………………………………………………………………………
Sire: Prefix/Suffix and full name: …………………………………………………………………………
Reg # ……………..…… Height: …….………………
Dam: Prefix/Suffix and full name: …………………………………………………………………………
Reg # ……………..…… Height: ………….…………
Print name and address of breeder: Breeder is the owner of the dam at the time of foaling. Breeders are responsible for making sure the jack owner signs the breeding certificate.
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Phone: …………………………...… Fax:……………………….….. Email: ……………………………...…………
Print name and address of owner: ………………………………………………………………………………….
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Phone: …………………………...… Fax:……………………….….. Email: ……………………………...……….…
Signature: …………………………………………………………………
Please circle one only: Mail to BREEDER Mail to OWNERIf the BREEDER wishes to Register and Transfer an animal to the new owner at the SAME TIME the breeder should list themselves as breeder and new owner in the owner area. No additional transfer form required, but registration fee and transfer fee required. If the BREEDER wishes to be listed as "rst owner and THEN to transfer to a new owner, the additional transfer fee will be needed, along with a transfer form.
Application for Registrationin the New Zealand
Miniature Donkey Registry
PTO
Send form, fees, and photos to: The Miniature Donkey Registrar of the Donkey & Mule Society of NZ., Peter van Dijk ‘Clovercrest’, 368 Runciman Rd, RD 2. Pukekohe 2677
CHECKLIST - Before you mail: Make sure you are sending:
1. This application. Did you keep a copy for yourself?2. Original registration certificates (if available) for parents if they are not in this register. 3. Two photos – one of each side. Good quality photos can be sent by email to the Registrar.4. Registration fees. ($10.00 member, $20.00 non member Donkey & Mule Soc of NZ)5. Transfer fees. (10.00) if transferred at the same time6. Is your membership current with the Donkey & Mule Society of NZ?7. The breeding certificate (for new foals).8. Branding or Microchipping certificate
Breeding Certificate
This is to certify that the Jenny: ………………………………………………………....................…
Reg No. ……………..……
was serviced by the Jack: ………………………………………….…………………………..…………
Reg No. ……………..……
on the following dates: ………………………………………………………………….…………….……
.………………………………………………………….………………………………………………………
OR: I owned both the jack and the Jenny at the time of the breeding.
Signature: ………………………………………………………………… Date issued: ……/……/20…
Owner of Jack: …………………………………………………………………
Address: …………………………………………………………………………………………………………
Phone: ……………………….……...… Fax: ……………………….……...…
Email: ……………………………………………………………..…..
(The information on this form becomes the property of the Donkey & Mule Society of New Zealand Inc.)
www.donkey-mule.org.nz
D&MSNZ form 29/6/09
Ph/fax: 09 238 9350Email: [email protected]
