Royal Agricultural Socety of New South Wales ABN 69 793 G44 351 trading as a ‘AUSTRALASIAN ANIMAL REGISTRY Locked Bag 4317, Sydney Olvmic Park NSW 2127, Phone: (02) 9704 1450 » mall nelp@aar.ocg.au | Web: wm.sarorg.2U _wonwoar oraz 5 APPLICATION FOR REGISTRATION ‘By signing this application both the Implanter and the Owner accept the AAR terms and 7( Se ee SAXON [ATTACH MICROCHIP NUMBER BARCODE STICKER BELOW | IMPLANTER NUMBER OR NAME & BUSINESS ADDRESS iii WI | SAN Naan A | Date Of Imptant_(éd/mm/vyyy) Bee Imp sSignature, __ fo] lo 2] [2[ol/ || ei AISGF | ‘Teg Number = : ‘Identification Number of Any Other Permanent ation jice Implanted in the Animal , rele | I l Fithime of anor Om Ome Ome ons |) le [7 [S| [AlAlvlew | l | Sumas ot Owner eer] [Res lele LI flee lees) Eee = DA Z1ET_ [Rl e14 [ | Baie fost code LITT isk a I 7 LT] LI | LL I LI aa ae] . — DayPhone : ‘After He ne ‘Mobile : : | LL] leet ieis[7leler emia l I l Lt l l l Nae ofakemais Conia : Wowie! Rilo | folelo LI eset ste Phi 1-7 7 preere ste Mobile 7 1 ‘Animal's Na ow d ; J Kia's | LT I (cel WIE Pest Llolelelelololgl | [ [ [ Ona outer male Poacaieellal Sale O mates Se Female fils) (217 leh 6] blelald«! TI iia fet) fee) eee | Please Indicate if Your Animal Has een Decared As: © Dangerous Menacing «> ARestricted Breed 100 NOT give permission formy contact details tobe made avaible toany suthorsed person forthe purpose of recovery of my animal. det det sb ye ue 8 one Ownage Snare Telehone Support Passrd ae J Lit tt ‘(aol 7 38380 PLEASE PRINT IN BLOCK LETTERS a ce |Dr Daniel Mitchell veterinary surgeon ra gi 31 Brook Street, Sunbury, Victoria 3429 T: (03) 9740 2444 | a Ec F: (03) 9740 2666 ‘www-sunburyet.com.au | Brook Street Vet _>*stare@sunburwet.comau PATIENT DETAILS: Name:_Keut species: CANINE CLIENT DETAILS: Name:_“] Rish Address: VACCINATION CERTIFICATE “Tiago vate: 09 oz is Today the above animal was vaccinated with a__© S arsepnn (Batch number/s He/she is due for another vaccination on offo3}ii Bee Dr Daniel Mitchell Veterinary Surgeon General Healthcare Medicine Surgery _—_Dentistry Puppy School Behaviour Export All Hours Service ‘AGN S897 3916078Brook Street Veterinary Clinic 31 Brook St Sunbury Vie 3429 Phone 03 9740-2448 5897-3916-078, Brook Street Vet Certificate of Sterilisation o as r0s/201% rneceamecoene na: initia 09452 Kai, a Female, Black, Lab, Dog Belonging to: Ms Trish Burke 100 Dalrymple Rd ‘SUNBURY Victoria 3429, Was surgically sterilised on 09/Feb/201 1. A tattoo was placed in her left ear to signify this procedure, 7 Dan Mitchell (09-February-2011