Royel Agricultural Society of New South Wales ABN 69 783 644 351 trading as a AUSTRALASIAN ANIMAL REGISTRY Locked Bag 4337, Sydney Olympic Park NSW 2127. Phone: (02) 9704 1450 malt help@aar.org.au | Web: WwW.2a.or9.2U_ ww.2a".og.A2 APPLICATION FOR REGISTRATION ‘By signing this application both the Implanter and the Owner accept the AAR terms and 7 onatens whch noe ben eae ts dn SAXON [ATTACH MICROCHIP NUMBER BARCODE STICKER BE! rMPL/ ORESS. DLUO: 29/04/2013 A22ay TIN | will mT 3ns094320126250 (PSE EeDeecee-eeeeoe aa rok Vet oe Saino ladle Pama isi‘ (vp) -(2feh Ate Lock « BI Fakes oie term ptt al ee MT) GE | Onn Ome Ome ons (PE Fr |S) [MIAIVIEIN. |_| I | peoesgiceee : eleh] [Rlé|s|c lve LITI [ Voit tber_ zz : [ DILL 1 iiele} (ola Tayimiele lel [elola io! om — (Slo twlelulaly | l DIVE) si¢lao ts ti Gun i aT a : (Mule | it J Pots teeta star) | - : T T l l l iE QAIY LI L] [elaleh [sler ] os TAT 1 TH] J | (2h lola@eélalcd |x! | te Lea | a ale Neutered O Female 5] Pepe Omaeeet Oremle Ost aS [os ele) elelol TI Li 1 TT] Please neat Your Animal Has Been Decared As: © Dongerous CQ Menacing © AResticted 100 NOT give permision for my contact detalsto be made avalible torany authored perso ortho purpose of recovery of my anima ded he ds bres 8 oe Ounge Ste TleponeSupport anwar bate feb@. l LLILLI: 1 /2[o] | | PLEASE PRINT IN BLOCK LETTERS —_ a fad i