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AUSTRALIAN NATIONAL KENNEL COUNCIL LTD

Judging Application for “Person Not a Resident of Australia” (Other than New Zealand residents)

Application Fee to be lodged by Affiliate - Payable to ANKC Ltd $50 (If lodged 9 months prior to the Show) $100.00 (If lodged less than 9 months prior to the Show) $10 (Additional fee if ANKC Ltd is required to obtain verification from Overseas Kennel Club) The above fees 10% GST inclusive

This form must be returned to the State/Territory ANKC Ltd Member Body for on-forwarding to the ANKC Ltd for approval.

[PLEASE ENSURE ALL REQUESTED INFORMATION IS PROVIDED IN ENGLISH]

1. Name (Dr/Mr/Mrs/Ms/Miss): ......

2. Address: ......

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3. Telephone: ......

4. Email: ......

5. Fax: ......

6. Date of Birth: ......

7. Country of Birth: ......

8. Of what country are you a citizen? ......

9. Country where qualifications were gained and are held: ......

10. Business, Profession or Occupation: ......

11. Other interests or hobbies: ......

12. Date this form dispatched: ......

13. Please indicate clearly on page 3 of this document the breed (s) for which you are approved to judge at Championship Show level in your Country of Residence, your original Country of Residence or the Country of Licence. If that approval is provisional you will not be eligible to judge those breeds in Australia and you should not indicate them on the form.

I am applying to judge in Australia the breed(s) as listed on page 3 of this document for the following Affiliate (s):

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Proposed date of show (s): ......

October 2014 Page 1 of 2 14. Please list the breed(s) with which you have been involved as an owner and / or breeder and/or exhibitor

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15. What other assignments are you currently contracted for in Australia or New Zealand?

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16. Please give details of any previous judging assignments in Australia.

Date Club Breeds / Groups

17. What languages do you speak and read? ......

18. Have you ever been suspended from membership or had your judging approval cancelled by a Canine Controlling Body? , if so please give details.

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Declaration: I undertake to abide by the Rules and Regulations of the ANKC Ltd and judge to its approved Breed Standards.

I declare all information on this form is correct and if circumstances make the information inaccurate I undertake to inform the ANKC Ltd forthwith. I will read the ANKC Ltd Breed Standards and its appropriate Member Body Regulations for Championship Shows and will judge to them. I also declare I am physically fit and capable of judging in the normally accepted manner.

I understand that the ANKC Ltd may at its discretion disapprove this application.

Signature: ...... Date: ......

Office use only. Comments: Date Approved

October 2014 Page 2 of 2 AUSTRALIAN NATIONAL KENNEL COUNCIL LTD

GROUP 1 - TOYS Judge:

Affenpinscher Great Anglo-French White & Australian Silky Terrier Chesapeake Bay Orange Hound Frise Clumber Great Gascony Blue Bolognese Greyhound Cavalier King Charles Spaniel Cocker Spaniel (American) Chihuahua (Long Coat) Curly Coated Retriever Halden Hound Chihuahua (Smooth Coat) Deutch Stichelhaar Hamiltonstovare Chinese Crested Drentsche Partridge Dog Hanoverian Scenthound Coton De Tulear English Harrier Griffon Belge Hellenic Hound English Toy Terrier (Black & Hungarian Hound Tan) Flat Coated Retriever Hygen Hound Griffon Bruxellois French Gascogne Ibizan Hound Havanese Type Irish Wolfhound Italian Greyhound French Pointing Dog Pyrenean Istrian Long Haired Scent Japanese Chin Type Hound King Charles Spaniel Istrian Wire Haired Scent Kromforhlander French Hound Lowchen Frisian Pointing Dog Italian Hound Maltese Frisian Water Dog Italian Rough Haired Segugio Miniature Pinscher German Shorthaired Medium Griffon Vendeen Papillon German Wirehaired Pointer Medium Sized Anglo-French Pekingese Hound Petit Brabancon Norman Artesian Phalene Norwegian Hound Pomeranian Hungarian Norwegian Elkhound Pug Hungarian Otterhound Russian Toy (Smooth Haired) Irish Red & White Setter Peruvian Hairless Dog (Large) Russian Toy (Long Haired) Peruvian Hairless Dog Tibetan Spaniel (Medium) Yorkshire Terrier Italian Spinone Peruvian Hairless Dog (Small) Petit Basset Griffon Vendeen GROUP 2 - TERRIERS Poitevin Large Munsterlander Polish Hound Airedale Terrier Nederlandse Polish Hunting Dog American Hairless Terrier Nova Scotia Duck Tolling (eligible to exhibit from 01/07/17) Retriever Posavaz Hound American Staffordshire Terrier Old Danish Pointing Dog Pharaoh Hound Australian Terrier (Small) Bedlington Terrier Pointer Portuguese Podengo (Medium) Border Terrier Pont-Audemer Spaniel Portuguese Podengo (Large) Brazilian Terrier Portuguese Pointing Dog Rhodesian Ridgeback Bull Terrier Pudel Pointer Saluki Bull Terrier (Miniature) Saint Germain Pointer Schillerstovare Cairn Terrier Small Munsterlander Serbian Hound Cesky Terrier Serbian Tricolour Hound Dandie Dinmont Terrier Sloughi Fox Terrier (Smooth) Slovakian Hound Fox Terrier (Wire) Weimaraner (Longhair) Smalandsstovare German Hunting Terrier Small Blue Gascony Hound Glen of Imaal Terrier Wire Haired Pointing Griffon Small Swiss Hound Bernese Irish Terrier Wire Haired Slovakian Pointer Small Swiss Hound Jura Jack Russell Terrier Small Swiss Hound Lucerne Japanese Terrier GROUP 4 - HOUNDS Small Swiss Hound Schywz Kerry Blue Terrier Whippet Lakeland Terrier Afghan Hound Manchester Terrier Azawakh GROUP 5 - WORKING Norfolk Terrier Basenji Norwich Terrier Basset Fauve de Bretagne Appenzell Cattle Dog Parson Russell Terrier Basset Hound Atlas Mountain Dog Scottish Terrier Beagle Australian Cattle Dog Sealyham Terrier Black & Tan Coonhound Australian Kelpie Skye Terrier Bloodhound Australian Shepherd Soft Coated Wheaten Terrier Bluetick Coonhound Australian Stumpy Tail Cattle Staffordshire Bull Terrier Borzoi Dog Tenterfield Terrier Dachshund (Long) Bearded Collie Welsh Terrier Dachshund (Min. Long) Belgian Shepherd Dog (Groen) West Highland White Terrier Dachshund (Smooth) Belgian Shepherd Dog (Laek) Dachshund (Min. Smooth) Belgian Shepherd Dog (Mal) GROUP 3 – GUNDOGS Dachshund (Wire) Belgian Shepherd Dog (Terv) Dachshund (Min. Wire) Bergamasco Shepherd Dog Deerhound Berger de Beauce Ariege Pointing Dog Finnish Spitz Border Collie Auvergne Foxhound Bouvier des Ardennes Grand Basset Griffon Vendeen Bouvier des Flandres Grand Griffon Vendeen Bohemian Wire Haired Pointing Great Anglo French-White & Catalan Sheepdog Griffon Black Hound Collie (Rough) Bourbonnais Pointing Dog Great Anglo-French Tri Colour Collie (Smooth) Hound Croatian Shepherd Dog

Listing last amended: February 2018

Czechoslvakian Wolfdog Newfoundland Danish Swedish Farmdog Norrbotten Spitz Dutch Schapendoes Norwegian Lunehund Dutch Shepherd Entlebuch Cattledog Pyrenean Finnish Lapphund German Shepherd Dog German Shepherd Dog (LSC) Russian Black Terrier Hovawort Russian European Laika Icelandic Sheepdog Samoyed Karst Shepherd Dog Schnauzer Komondor Schnauzer (Min.) Kuvasz Schnauzer (Giant) Lapponian Herder Shiba Inu Majorca Shepherd Dog Shikoku Maremma Sheepdog Siberian Husky Norwegian Buhund Spanish Mastiff Old English Sheepdog St. Bernard Picardy Sheepdog Taiwan Dog Polish Lowland Sheepdog Thai Ridgeback Portugese Sheepdog Thai Bangkaew Dog Puli Tibetan Mastiff Pumi Uraguyan Cimmaron West Siberian Laika Longhaired GROUP 7 - NON SPORTING Romanian Carpathian Shepherd Dog Boston Terrier Romanian Mioritic Shepherd British Dog Canaan Dog Saarloos Wolfhound Chow Chow Dalmatian Shetland Sheepdog Dutch Smoushound Slovakian Chuvach Eurasier South Russian Shepherd Dog Swedish Lapphund German Spitz (Klein) Swedish Vallhund German Spitz (Mittel) Tatra Shepherd Dog Welsh Corgi (Cardigan) Italian Volpino Welsh Corgi (Pembroke) Japanese Spitz White Swiss Shepherd Dog Keeshond Yugoslavian Shepherd Dog Lhasa Apso (Standard) GROUP 6 - UTILITY Poodle (Miniature) Poodle (Toy) Akita Schipperke Akita (Japanese) Shar Pei Alaskan Malamute Shih Tzu Anatolian Shepherd Dog Tibetan Terrier Austrian Pinscher Xoloitzcuintle (Miniature) Bernese Mountain Dog Xoloitzcuintle (Intermediate) Xoloitzcuintle (Standard) BEST IN SHOW JUNIOR HANDLER Caucasian Shepherd Dog Cirneco Dell Etna Canadian Eskimo Dog Central Asian Shepherd Dog Dobermann East Siberian Laika Eastern European Shepherd German Pinscher Great Swiss Mountain Dog Greenland Dog Hokkaido Hovawart Italian Volpino Jamthund Kai Karelian Bear Dog Kishu Korean Jindo Dog Landseer Leonberger Majorca Mastiff Mastiff Listing last amended: February 2018