THE HACKNEY HORSE SOCIETY for Office Use Only
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THE HACKNEY HORSE SOCIETY For Office Use Only Reg No THE SILHOUETTE AND DESCRIPTION MUST BE COMPLETED BY A VETERINARY SURGEON AND THE ANIMAL MUST BE Paid MICROCHIPPED AND THE NUMBER RECORDED Premium PASSPORT/REGISTRATION APPLICATION FORM DNA Refund If you would like to find out more about how we keep your details safe and how the information you give us is used then please read our Privacy Notice which is Horse available on The Hackney Horse Society’s website. You can update your details at any time. Refund Reg To be completed in CAPITALS except for signatures Owners Name_________________________________________________________ Address______________________________________________________________ ____________________________________________________________________Tel No________________ Breeders Name_____________________________________________________________________________ Address___________________________________________________________________________________ ____________________________________________________________________Tel No________________ THE DIAGRAM OVERLEAF MUST BE COMPLETED SHOWING ALL WHITE MARKINGS. IF NO MARKINGS STATE "NO WHITE ", AS THIS FORM WILL BE PHOTOCOPIED AND USED FOR THE REGISTRATION,DOCUMENT PLEASE COMPLETE VERY CLEARLY. Sex___________________________ Section of Stud Book HORSE/PONY (please delete what not applicable) Name of Horse/Pony_________________________________________________________________________ Day Month Year Date of Birth_____________________ Permit * Sire of Horse/Pony___________________________________Reg No_________Premium_______No______ Sire’s Sire__________________________________________Reg No_________ * Dam of Horse/Pony__________________________________Reg No_________Premium_______ Dam’s Sire__________________________________________Reg No_________ CERTIFICATE OF BREEDER FOR ABOVE ANIMAL I HEREBY declare that I bred the animal named___________________________________________________ and that the above mentioned pedigree and particulars are correct. Date________________________________ Signature of Breeder____________________________________ PART BRED REGISTER ONLY *If the Sire/Dam is unregistered please supply the following particulars if known Breed__________________________Stud Book No______________________Year Foaled________________ Colour and Markings________________________________________________________________________ Name of Sire/Dam___________________________________________________________________________ Grand-sire/Dam____________________________________________________________________________ 1 HEREBY certify that the above pedigree and particulars are correct to the best of my knowledge and belief. Signature of Owner_________________________________________________________________________ PLACE AND DATE OF IDENTIFICATION SIGNATURE AND STAMP OF VETERINARY SURGEON OR COMPETENT AUTHORITY Circonscription et date Signature et cachet chi veterinaire agree (ou de l’autorite copetente) ................................................................................................................................................................. ................................................................................................................................................................. ............................................................................................... Date........................................................ SECTION 1 - PART A - Identification Details Name/Nom ................................................................................................................................................................................................ Espece /Species HACKNEY Sex/ Sexe.............................. Date of Birth/.......................................... Colour/Robe.................................. Date de naissance. Head/ Tête .................................................................................................................................................................................................... Foreleg R/ Ant D .......................................................................................................................................................................................... Foreleg L/ Ant G .......................................................................................................................................................................................... Hindleg R/ Post D ........................................................................................................................................................................................ Hindleg L/ Post G ........................................................................................................................................................................................ Body/ Corps ...................................................................................................Markings/ Marques ................................................................. CHESTNUTS/ Châtaignes The outline of Foreleg Right/ Antêrieur droit Hindleg Right/ Postêrieur droit each chestnut must be drawn in the appropriate square for all horses without Foreleg Left/ Antêrieur gauche Hindleg Left/ Postêrieur gauche markings and with less than three whorls Application for a Hackney Horse Society Passport Application for a passport for a Hackney Horse or Pony, or a Part-bred Hackney Horse or Pony should be made using the current registration forms. All applications for the registration of pure-bred and part- bred Hackney foals must be received 6 months from date of birth or before 31 st December of the year of birth, whichever is longer. All registrations of pure bred Hackneys are subject to DNA parentage testing to prove parentage at the expense of the applicant, payment for DNA kit must be received prior to any kits being forwarded. Appropriate registration fee to be sent when returning the passport application. If the application for a passport is received after 31 December in the year if birth, part II of Section IX of the passport will be signed and stamped by the Society, irreversibly removing the animal from the human food chain, as required by horse passport legislation. The identification diagram on the application form must be completed by a registered veterinary surgeon. The vet will also implant a microchip into the animal concerned, having first checked for evidence of any previously implanted micro-chip. The position of the micro-chip should be noted on the Identification diagram. The vet should also collect, verify and sign the hair samples for DNA records from the foal being identified. The vet must draw the outline of each chestnut in the appropriate square for all horses without markings and with less than three whorls. The form should then be sent to the Society, together with the required fee for registration, the DNA hair sample collected by the vet to be forwarded to the appropriate DNA testing authority. Failure to provide any of these requirements correctly may lead to delays in issuing the passport. A minimum of 25 working days from the date the applicant forwarded the DNA sample to the relevant testing authority is required before a passport is able to be issued. Registration Hackney foals are eligible for registration only if both the sire and dam are registered in the Hackney Horse Society stud book and it complies with all current conditions for registration, as set out in the rules and regulations of the Hackney Horse Society. A copy of the rules of registration are available from the Society, and also on the website www.hackney-horse.org.uk Ponies will be registered in the appropriate section of the studbook, according to the rules of registration. Part-bred Hackneys are eligible for registration only if the Sire of Dam is a Pure bred Hackney. There is no up-grading from the part-bred register to the pure stud book. Any registration queries should be made to the Office, Monday-Friday, 10-4.00 pm Registration forms and fees should be sent to: Hackney Horse Society Tel: 01985 840717 Email: [email protected] Website: www.hackney-horse.org.uk Non-discrimination between members In order to comply with zootechnical legislation, the Hackney Horse Society declares that it does not discriminate between members. Data Protection Legislation Under the terms of the Data Protection Legislation the Society has a responsibility to inform data subjects (equine owners) about the intention to collect data (which includes personal information relating to an equine owner’s name and address) and how that data will be used. Information supplied in connection with your application and other horse passport based information about horse and owner is held in order for the Society to carry out its mandatory requirements as a passport issuing organisation. From time to time the Society is required to make such information available to Defra and recognised enforcement authorities in order that they may carry out their responsibilities regarding the implementation of the horse passport legislation. The information will be uploaded to Central Equine Database (CED) The Society will also publish the data in the Hackney Horse Society Stud book. The Hackney Horse Society is a Company limited by guarantee registered in England No: 19321 Registered Charity No:208905 Defra Approved Passport Issuing Organisation No. 826030 .