NAL K IO EN T N A E N L Overseas Judges Application Form N C A O I U L N A C R I T L S L U 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 Email Other information Business, profession or occupation Other Interests or hobbies Page 1 Breed information Please select 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 license. 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. 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 Peruvian Hairless Dog (Large) Tenterfield Terrier Weimaraner Peruvian Hairless Dog (Medium) Welsh Terrier Weimaraner (Longhair) Peruvian Hairless Dog (Small) West Highland White Terrier Welsh Springer Spaniel Petit Basset Griffon Vendeen Wirehaired Slovakian Pointer Pharaoh Hound Portuguese Podengo (Small) Portuguese Podengo (Medium) Portuguese Podengo (Large) Rhodesian Ridgeback Saluki Sloughi Whippet Continued on next page. Page 2 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 Poodle (Standard) Collie (Smooth) German Pinscher Poodle (Miniature) Dutch Shepherd Kangal Shepherd Dog Poodle (Toy) Finnish Lapphund Landseer ECT Schipperke German Shepherd Dog Leonberger Shar Pei German Shepherd Dog (LSC) Mastiff Shih Tzu Icelandic Sheepdog Neapolitan Mastiff Tibetan Terrier Komondor Newfoundland Xoloitzcuintle (Miniature) Kuvasz Portuguese Water Dog Xoloitzcuintle (Intermediate) Maremma Sheepdog Pyrenean Mastiff Xoloitzcuintle (Standard) Norwegian Buhund Pyrenean Mountain Dog Old English Sheepdog Rottweiler Polish Lowland Sheepdog Russian Black Terrier 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: July 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 understand that the ANKC Ltd may at its discretion disapprove this application. Signature Date Office use only Comments Date approved Page 4.