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: ...................................................................................................................................... ..................................................................................................................................................... ..................................................................................................................................................... 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): .................................................................................................................................................................. 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 .................................................................................................................................................................. .................................................................................................................................................................. .................................................................................................................................................................. 15. What other assignments are you currently contracted for in Australia or New Zealand? .................................................................................................................................................................. .................................................................................................................................................................. .................................................................................................................................................................. 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. .................................................................................................................................................................. .................................................................................................................................................................. 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 Bracco Italiano Dachshund (Rabbit Long Australian Silky Terrier Brittany Haired) * Bichon Frise Chesapeake Bay Retriever Dachshund (Smooth) Bolognese * Clumber Spaniel Dachshund (Min. Smooth) Cavalier King Charles Spaniel Cocker Spaniel Dachshund (Rabbit Smooth Chihuahua (Long Coat) Cocker Spaniel (American) Haired) * Chihuahua (Smooth Coat) Curly Coated Retriever Dachshund (Wire) Chinese Crested Dog Deutch Stichelhaar * Dachshund (Min. Wire) Continental Toy Spaniel Drentsche Partridge Dog * Dachshund (Rabbit Wire (Papillon) English Setter Haired) * Continental Toy Spaniel English Springer Spaniel Deerhound (Phalene) * Field Spaniel Drever * Coton De Tulear Flat Coated Retriever Fawn Brittany Griffon * Griffon Belge * French Pointing Dog Gascogne Finnish Hound * English Toy Terrier (Black & Type * Finnish Spitz Tan) French Pointing Dog Pyrenean Foxhound Griffon Bruxellois Type * Gascon Saintongeois * Havanese French Spaniel * German Hound * Italian Greyhound French Water Dog (Barbet) * Grand Basset Griffon Japanese Chin Frisian Pointing Dog * Vendeen King Charles Spaniel Frisian Water Dog * Grand Griffon Vendeen * Kromforhlander * German Shorthaired Pointer Great Anglo French-White & Lowchen German Wirehaired Pointer Black Hound * Maltese German Spaniel * Great Anglo-French Tri Colour Hound * Miniature Pinscher Golden Retriever Great Anglo-French White & Pekingese Gordon Setter Orange Hound * Petit Brabancon * Hungarian Vizsla Great Gascony Blue * Pomeranian Hungarian Wirehaired Vizsla Greyhound Pug Irish Red & White Setter Griffon Nivernais * Russian Toy (Smooth Haired) Irish Setter Halden Hound * Russian Toy (Long Haired) Irish Water Spaniel Hamiltonstovare Tibetan Spaniel Italian Spinone Hanoverian Scenthound * Yorkshire Terrier Labrador Retriever Harrier Lagotto Romagnolo Hellenic Hound * GROUP 2 - TERRIERS Large Munsterlander Hungarian Hound * Nederlandse Kooikerhondje * Hygen Hound * Airedale Terrier Nova Scotia Duck Tolling Ibizan Hound American Hairless Terrier Retriever Ibizan Podenco * American Staffordshire Old Danish Pointing Dog * Irish Wolfhound Terrier Picardy Spaniel * Istrian Short Haired Scent Australian Terrier Pointer Hound * Bedlington Terrier Pont-Audemer Spaniel * Istrian Long Haired Scent Border Terrier Portuguese Pointing Dog * Hound * Brazilian Terrier * Pudel Pointer * Istrian Wire Haired Scent Bull Terrier Saint Germain Pointer * Hound * Bull Terrier (Miniature) Small Munsterlander * Italian Hound * Cairn Terrier Spanish Water Dog * Italian Rough Haired Segugio * Cesky Terrier Sussex Spaniel Medium Griffon Vendeen * Dandie Dinmont Terrier Weimaraner Medium Sized Anglo-French Fox Terrier (Smooth) Weimaraner (Longhair) Hound * Fox Terrier (Wire) Welsh Springer Spaniel Norman Artesian Basset Hound German Hunting Terrier Wire Haired Pointing Griffon * * Glen of Imaal Terrier Wire Haired Slovakian Pointer * Norwegian Hound * Irish Terrier Norwegian Elkhound Jack Russell Terrier GROUP 4 - HOUNDS Otterhound Japanese Terrier * Peruvian Hairless Dog Kerry Blue Terrier Afghan Hound (Large) Lakeland Terrier Alpine Dachsbracke * Peruvian Hairless Dog Manchester Terrier American Foxhound * (Medium) Norfolk Terrier Artois Hound * Peruvian Hairless Dog Norwich Terrier Austrian Black & Tan Hound * (Small) Parson Russell Terrier Azawakh Petit Basset Griffon Vendeen Scottish Terrier Basenji Poitevin * Sealyham Terrier Basset Fauve de Bretagne Polish Hound * Skye Terrier Basset Hound