ANDHRA PRADESH KENNEL CLUB

HYDERABAD DOG SHOW
E N T R Y
M il e trie to: a n s

E td 1 4 , s . 98

SPONSORED BY:

F O R M

A te toth K n e C bo In ia–1 4 ffilia d e e n l lu f d 99
‘Geeta Govind’ 54, H.A.C.P Colony, Opp. Vikrampuri, Secunderabad- 500 009. A.P. India. Mobile: 98480 49934, Email: ananthakrishnanar@apkc.org

85TH & 86TH CHAMPIONSHIP DOG SHOWS 14TH NOVEMBER 2010
IMPORTANT : Please type & Use Block Letters While Filling Out This Entry Form Name of the Registered Owner Mr./Mrs./Ms. Address: Office Use Only Entries B/F Entries this form Entries C/F City: Day Tel.: State Evg. Tel.: PIN Code Email: Entry Fees Encl: Entry Fees Due: DD/M.O. No. Dated:

ENTRY DETAILS: Refer KCI Registration Certificate for details of Dog. USE BLOCK LETTERS

1. Breed No.
Reg. Name of the Dog Date of Birth Sire Dam Name of the Breeder

Breed

Color & Marking KCI Reg. No. Dog Bitch B.I Imp.

1. Entries at Rs. 2. Entries at Rs. 3. Entries at Rs. 4. Paid Kennel Total Rs.______________
Please read the Show Schedule & KCI Regulations Carefully. To, Honorary Secretary, Andhra Pradesh Kennel Club Dear Sir, Imp. I am enclosing my entries for the APKC 85th & 86th Championship Dog Show to be held at Hyderabad as per the following details. I/We herby certify and declare that the dog’s entered above is / are my / our bonafide property and I/We entered them at my/our risk and that my/our dogs entered on this form is/are registered in India only with The Kennel Club of India. I/we undertake to abide by the rules and regulations bye-laws of Kennel Club of India, Andhra Pradesh Kennel Club and of this Show. I/We declare that the dogs entered has/have not suffered from or been exposed to the risk of distemper or any contagious or infectious disease for six weeks prior to exhibition and that I/We will not show them if they incur any such risk between now and the day of the show or if they have been inoculated with distemper Virus within fourteen days prior to the show. Date:___________________ Sign:___________________

Entered in Class Group
Tatoo /Microchip Color & Marking

2. Breed No.
Reg. Name of the Dog Date of Birth Sire Dam Name of the Breeder

Breed

KCI Reg. No. Dog Bitch B.I

Entered in Class Group
Tatoo/Microchip

3. Breed No.
Reg. Name of the Dog Date of Birth Sire Dam Name of the Breeder

Breed

Color & Marking

KCI Reg. No. Dog Bitch B.I Imp.

Entered in Class Group
Tatoo/Microchip

(THIS ENTRY FORM CAN BE USED FOR ENTRY OF THREE DOGS)

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