Royal Agricukural Society of New South Wales ABN 69 793 64 351 troding as a AUSTRALASIAN ANIMAL REGISTRY Locked Bag 4317, Sydney Olympic Park NSW 2127, Phone: (02) 9704 1450 mall help@oor.org.au "Web: Won. 22.09.40 ww¥.2a".OG.NE APPLICATION FOR REGISTRATION 'By signing this application both the Imptanter and the Owner accept ‘the AAR terms and 7 Soduons whch have been sed tS CHNE. SAXON [ATTACH MICROCHIP NUMBER BARCODE STICKER BELOW | _IMPL “DRESS BELO: 29/04/2033 ue il (MINN 94309432012 7487 prook StVet aA2us Dats Orinpink (all Tie : gis Ah 2h) | Z2Xe flo ee | TagHimber 7 cecatonWuiberfAny Sha Parmanar Intetion Device Implant th Animal fale lel) | [les Fann : on Om Ome Ons Plex S| NAWVEN id | [ Holo fo alielyimlelicle Sluniewlelyl 1 {TT | [TI Lvildizielaig] oe eee ees arent ae lulvimel | | | LL I | a a are ‘Address Where Animal Name of trata Niolplel¢ €jol | | L l LJ | ae : 1 : folle@l@y TT fea I (clalel Rel T 1 1) Breed rol fae kl | LITT I LI Jwala Oneutered CO remale © spared ca of [2112] oa a élejalcnd Tat Wwe ee TT TT TTA LTT TTT ttt Please Indicate if Your Animal Has Been Declared As: (> Dangerous © Menacing O ARestricted Breed Nears ie aoe ey es Es ote sive to any authorised person for the purpose of recovery of my animal. _t 1 LI Wel bis} (e1 2lelP) f PLEASE PRINT IN BLOCK LETTERS —_ a fa)