NAL K IO EN T N A E N L
Overseas Judges Application Form N C A O
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T A Judging application for “Person Not a Resident of Australia” (Other than New Zealand residents) D
Application fee to be lodged by affiliate - payable to ANKC Ltd $50.00 (If lodged 9 months prior to the show) $100.00 (If lodged less than 9 months prior to the show) $10.00 (Additional fee if ANKC Ltd is required to obtain verification from overseas kennel club) The above fees are 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
Your details
Title Dr Mr Mrs Ms Miss
Full name
Date of birth Country of birth
Country of citizenship Country where qualifications were gained and are held
Contact details
Street name and number
Suburb State Postcode Country
Telephone Fax
Other information
Business, profession or occupation Other Interests or hobbies
Page 1 NAL K IO EN T N A E Breed information N L
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GROUP 1 - TOYS GROUP 2 - TERRIERS GROUP 3 – GUNDOGS GROUP 4 - HOUNDS
Affenpinscher Airedale Terrier Bracco Italiano Afghan Hound
Australian Silky Terrier American Hairless Terrier Brittany Azawakh
Bichon Frise American Staffordshire Terrier Chesapeake Bay Retriever Basenji
Cavalier King Charles Spaniel Australian Terrier Clumber Spaniel Basset Fauve de Bretagne
Chihuahua (Long Coat) Bedlington Terrier Cocker Spaniel Basset Hound
Chihuahua (Smooth Coat) Border Terrier Cocker Spaniel (American) Beagle
Chinese Crested Dog Bull Terrier Curly Coated Retriever Black & Tan Coonhound
Coton De Tulear Bull Terrier (Miniature) English Setter Bloodhound
English Toy Terrier (Black & Tan) Cairn Terrier English Springer Spaniel Bluetick Coonhound
Griffon Bruxellois Cesky Terrier Field Spaniel Borzoi
Havanese Dandie Dinmont Terrier Flat Coated Retriever Dachshund (Long)
Italian Greyhound Fox Terrier (Smooth) German Shorthaired Pointer Dachshund (Min. Long)
Japanese Chin Fox Terrier (Wire) German Wirehaired Pointer Dachshund (Smooth)
King Charles Spaniel German Hunting Terrier Golden Retriever Dachshund (Min. Smooth)
Lowchen Glen of Imaal Terrier Gordon Setter Dachshund (Wire)
Maltese Irish Terrier Hungarian Vizsla Dachshund (Min. Wire)
Miniature Pinscher Jack Russell Terrier Hungarian Wirehaired Vizsla Deerhound
Papillon Kerry Blue Terrier Irish Red & White Setter Finnish Spitz
Pekingese Lakeland Terrier Irish Setter Foxhound
Pomeranian Manchester Terrier Irish Water Spaniel Grand Basset Griffon Vendeen
Pug Norfolk Terrier Italian Spinone Greyhound
Russian Toy (Smooth Haired) Norwich Terrier Labrador Retriever Hamiltonstovare
Russian Toy (Long Haired) Parson Russell Terrier Lagotto Romagnolo Harrier
Tibetan Spaniel Scottish Terrier Large Munsterlander Ibizan Hound
Yorkshire Terrier Sealyham Terrier Nova Scotia Duck Tolling Retriever Irish Wolfhound
Skye Terrier Pointer Norwegian Elkhound
Soft Coated Wheaten Terrier Spanish Water Dog Otterhound
Staffordshire Bull Terrier Sussex Spaniel Petit Basset Griffon Vendeen
Tenterfield Terrier Weimaraner Pharaoh Hound
Welsh Terrier Weimaraner (Longhair) Portuguese Podengo (Small)
West Highland White Terrier Welsh Springer Spaniel Portuguese Podengo (Medium)
Wirehaired Slovakian Pointer Portuguese Podengo (Large)
Rhodesian Ridgeback
Saluki
Sloughi
Whippet
Continued on next page.
Page 1 Breed information (continued)
GROUP 5 – WORKING DOGS GROUP 6 – UTILITY GROUP 7 – NON SPORTING BEST IN SHOW
Australian Cattle Dog Akita Boston Terrier JUNIOR HANDLER
Australian Kelpie Akita (Japanese) British Bulldog
Australian Shepherd Alaskan Malamute Canaan Dog
Australian Stumpy Tail Cattle Dog Anatolian Shepherd Dog Chow Chow
Bearded Collie Bernese Mountain Dog Dalmatian
Belgian Shepherd Dog (Groen) Boxer Eurasier
Belgian Shepherd Dog (Laek) Bullmastiff French Bulldog
Belgian Shepherd Dog (Mal) Canadian Eskimo Dog German Spitz (Klein)
Belgian Shepherd Dog (Terv) Cane Corso German Spitz (Mittel)
Bergamasco Shepherd Dog Caucasian Shepherd Dog Great Dane
Border Collie Central Asian Shepherd Dog Japanese Spitz
Bouvier des Flandres Dobermann Keeshond
Briard Dogue de Bordeaux Lhasa Apso
Collie (Rough) Estrela Mountain Dog Peruvian Hairless Dog (Large)
Collie (Smooth) German Pinscher Peruvian Hairless Dog (Medium)
Dutch Shepherd Kangal Shepherd Dog Peruvian Hairless Dog (Small)
Finnish Lapphund Landseer ECT Poodle (Standard)
German Shepherd Dog Leonberger Poodle (Miniature)
German Shepherd Dog (LSC) Mastiff Poodle (Toy)
Icelandic Sheepdog Neapolitan Mastiff Schipperke
Komondor Newfoundland Shar Pei
Kuvasz Portuguese Water Dog Shih Tzu
Maremma Sheepdog Pyrenean Mastiff Tibetan Terrier
Norwegian Buhund Pyrenean Mountain Dog Xoloitzcuintle (Miniature)
Old English Sheepdog Rottweiler Xoloitzcuintle (Intermediate)
Polish Lowland Sheepdog Russian Black Terrier Xoloitzcuintle (Standard)
Puli Samoyed
Pumi Schnauzer
Pyrenean Sheepdog Longhaired Schnauzer (Min.)
Shetland Sheepdog Schnauzer (Giant)
Swedish Lapphund Shiba Inu
Swedish Vallhund Siberian Husky
Tatra Shepherd Dog Spanish Mastiff
Welsh Corgi (Cardigan) St. Bernard
Welsh Corgi (Pembroke) Tibetan Mastiff
White Swiss Shepherd Dog
Page 3 Listing last amended: October 2018 More information
I am applying to judge in Australia the breed(s) as selected above for the following affiliate(s)
Proposed date of show(s)
Please list the breed(s) with which you have been involved as an owner and / or breeder and/or exhibitor
What other assignments are you currently contracted for in Australia or New Zealand?
Please give details of any previous judging assignments in Australia
Date Club Breeds/Group
What languages do you speak and read?
Have you ever been suspended from membership or had your judging approval cancelled by a Canine Controlling Body? If yes, please give details.
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 acknowledge this is a continuing obligation and I undertake to notify the club should my health status impact upon my ability to judge in the normally accepted manner. Signature Date
Office use only Comments Date approved
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