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APPLICATION FOR REGISTRATION OF
BREEDER
IN RESPECT OF AN ESTABLISHMENT
()
District
Applicant Detail
Title
Select
Mr.
Mrs.
Ms.
Applicant Name
S/o, W/o, D/o
Select
S/o
W/o
D/o
Father/Husband Name
Applicant Address Detail
Zone
Block
Ward
Colony
Plot / House No
Pin Code
Street Name
Mobile
Email
Qualification
Experience
Establishment Detail
Establishment Name
Mobile
Email
Establishment Address
Working From Time
Working To Time
Establishment Rest Days
Establishment Register Detail
Accommodation Detail
Infrastructure Detail
Heating Or Cooling Arrangement Detail
Arrangement For Food Storage
Cleanliness and Arrangement for removal of animal excreta and waste
Arrangement for disposal of animals that die
Arrangement for medical and veterinary support
Is Ventilation Arrangement
Is Lighting Arrangement
DETAILS OF PETS PROPOSED TO BE BRED IN THE ESTABLISHMENT
Add
Pet Type
Pet Name
Pet Breed
Sex of Pet
Select
Male
Female
Age
Remarks
DETAILS OF PETS ACQUIRED AND MATED
Add
Pet Type
Pet Breed
Pet Micro-Chip No
Date of Acquisition
Date of Mating
Mated With Micro-Chip No
Pups Born
DETAILS OF PETS DEATH
Add
Pet Type
Pet Breed
Pet Micro-Chip No
Death Reason
Post Mortem File
DETAILS OF PETS SOLD
Add
Pet Type
Pet Breed
Pet Micro-Chip No
Age
Sale Date
Price
Customer Name
Customer Address
Customer Mobile
No of Pups Un-Sold
Payment Detail
Payment Mode
Online
Cash
Card
NEFT
RTGS
Demand Draft
Bank
Transaction Id
DD No
DD Date
Pay Details
Registration Charges (Annually) :
Rs. 0 /-
Submit
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