Andhra Pradesh Kennel Club

Estd. 1948. Affiliated to The Kennel Club of India - 1949 "The Club House", Block 7, Flat 4, Housing Board Colony, Mokaram Jahi Rd., Hyderabad AP 500001 Mail Entries to: 1A SKR Enclave, HUDA Enclave, Plot No. 47, Rd No. 70, Jubilee Hills, Hyderabad, AP 500096 Email: apkc@apkc.org Web: www.apkc.org

ENTRY FORM

Hyderabad Dog Show

Important: Please Type or Use BLOCK LETTERS while filling out Entry Form.
Name of Registered Owner(s): Mr./Mrs./Ms. Address:

_____ & _____ CHAMPIONSHIP DOG SHOWS

Office Use Only Entries B/F Entries this form Entries C/F

City

State

Pin Code

Entry Fees Encl.: Cheque/Cash Entry Fees Due:

Telephone:

Email:

ENTRY DETAILS:
Refer KCI Registration Certificate for details of Dog. Upto 3 Entries of a Single owner can be entered on this form.
Breed Color & Markings

1. 2. 3.

Entries at Rs. Entries at Rs. Entries at Rs.

1
Reg. Name of Dog: KCI Reg. No.:

Paid Kennels at (each Rs. 1,000)

Date of Birth:

Sex:

Dog
Sire:

Bitch

B.I.
Entered in Class:

Imp.

Total Rs.
Please read the Show Schedule & KCI Regulations carefully. To: Honorary Show Secretary Andhra Pradesh Kennel Club Dear Sir, I am enclosing my entries for the APKC Championship Dog Shows to be held at Hyderabad as per the following details. I/We here-by certify and declare that the dog/s entered above is/are my/our bonafide property and I/We enter 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 and bye-laws of Kennel Club of India, Andhra Pradesh Kennel Club and of this Show. I/We declare that the dog/s 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: _______/_______/20___

Dam:

Obedience Class:

Name of Breeder:

Tatoo/Microchip #:

Breed

Color & Markings

2
Reg. Name of Dog: KCI Reg. No.:

Date of Birth:

Sex:

Dog
Sire:

Bitch

B.I.
Entered in Class:

Imp.

Dam:

Obedience Class:

Name of Breeder:

Tatoo/Microchip #:

Breed

Color & Markings

3
Reg. Name of Dog: KCI Reg. No.:

Date of Birth:

Sex:

Dog
Sire:

Bitch

B.I.
Entered in Class:

Imp.

Dam:

Obedience Class:

Sign:___________________________
Name of Breeder: Tatoo/Microchip #:

Name:__________________________ _
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