THE KENNEL UNION OF SOUTHERN AFRICA 6TH FLOOR, ‘BREE CASTLE’, 68 BREE STREET, CAPE TOWN, 8001 P.O. BOX 2659, CAPE TOWN, 8000 TEL. (021) 423-9027 FAX: (021) 423-5876 EMAIL: [email protected] WEB: www.kusa.co.za APPLICATION TO REGISTER A SINGLE DOG – BREED AND FIELD TRIAL REGISTERS ONLY Microchip Implantation is mandatory for registration purposes IMPORTED DOGS (including registered in Zimbabwe). Applicant(s) must be a current member of KUSA. Method of Payment: 1. Breed register. (Export or Certified Pedigree issued by Control Body of country from which exported as well as Certificates of ownership are required without exception) EX GERMANY: Club Certified Pedigrees must be cleared by VDH | Ex FCI COUNTRIES: Refer to KUSA Office for details.
BOXERS – Ex Federation of Boxer Clubs of Southern Africa. CREDIT CARD NUMBER Applicant(s) must be a current member of KUSA. 2. Breed Register. (Certified Three Generation Pedigree from FBCSA including registration numbers are required.) Note: Cropped eared dogs cannot be registered unless it can be proven that they were cropped outside Southern Africa prior to initial importation.
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POINTERS & SETTERS – National Field Trial Association. Applicant(s) Card Holder Name must be a current member of KUSA. (Please Print) 4(a) a) Breed Register (Certified 3 generation NFTA Pedigree including registration ------numbers are required.) ------4 (b) b) Field Trial Register. (Attach Certified NFTA Pedigree giving registration numbers where known) Note: Dogs on the Field Trials Register may be entered in competition for Field Trials only. Card Holder Signature ------B H Amount Date R ……………………………………………………………………………………………………………………………… Remitted = E ………………………………………………………………………………………….. D E
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DATE OF TA Attach BIRTH D D M M Y …………………………………. TT Certificate Y SEX COLOUR ………………………………………………………… OO M/F …………. NO Microchip MI Implantation CR O Mandatory CH IP N O. SIRE NAM NAME OF ……………………………………………………………………………… …………………………………………………………………………………… E DOG ………………………………………………………… ………………………………………………………..
INSERT REGISTE REG. RED NO. AFFIX (IF (KENNEL APP NAME) LICA FOR USE BLE) AS SUFFIX HERE
…………………………………………………………………………… DAM …………………………………………………………… NAM ………………………………………………………………………………… BRE E …………………………………………………………… EDE …………………………………………………………………………… R (S) …………………………………………………………… NAM REG E (S) …………………………………………………………………………… . NO. & …………………………………………………………… (IF ADD APP RES LICA S BLE)
NAME OF CURRENT TITLE …………..…… …………………………………………………………………………. N TITLE ……………………. OWNER (1) AO W SURNAME …………………………………………………….. MEMBER NO. SURNAME ………………………………………………………….. MEMBER NO.
POSTAL ADDRES …………………………………………………………………………… POSTAL …………………………………………………………………………………… S OF …………………………………………………….…… ADDRES …………………………………………..………… OWNER S OF (1) ………………………………………………………………………… OWNER …………………………………………………………………………Postal Postal Code: ………………………………………..…… (2) Code: ……………………………………….………
EMAIL ADDRESS : EMAIL ADDRESS : …………………………………………………………………………… …………………………………………………………………………………… TEL. ………………………….……. ……………….………….. CONTAC TEL. T CONTAC T NUMBERS (H) ……………………………………………………………………… CELL:………………………………………………. NUMBERS (H) ……………………………………………………………………… CELL:………………………………………………. (W) (W) ………………………………………… ………………………………………… ……………………………. ……………………………. SI SIG GN NA ……………………… …………………………… DATE AT DATE TU ……………………….. ……………………… UR RE ……………………………………… ………………………………………… E ………………………… …………………….…..
If applicant is a minor under 18 years legal guardian to sign here: Date: If applicant is a minor under 18 years legal guardian to sign here: Date: Guardian I.D. No: Guardian I.D. No: CONSTITUTION, Article 21 – JURISDICTION OF KENNEL UNION
Every person (a) making application to the Kennel Union for the registration, recording or transfer of a dog or the registration of an affix; shall be deemed thereby to have submitted to and agreed to be bound by this Constitution and all Schedules, with particular reference to Schedule 9, Code of Ethics, Rules, Regulations and By-Laws framed thereunder, both in respect of himself and in respect of every dog owned by him, registered or recorded in his name or owned, registered and recorded by him jointly with another or others or owned or registered or recorded in the name of a nominee, or exhibited or handled by him. V2.04-2016