Regulations for the FCI International Championship, Annex 1b)
APPLICATION FORM FOR THE TITLE OF: C.I.B. or C.I.E.
13, Place Albert Ier, 6530 THUIN – Belgique - tél. ++ 32 (0)71 59 12 38 – fax ++ 32 (0)71 59 22 29 – Internet : http://www.fci.be
FEDERATION CYNOLOGIQUE INTERNATIONALE (AISBL)
* PLEASE FILL OUT IN CAPITAL LETTERS
* FOR OWNERS FROM THE FOLLOWING COUNTRIES ONLY: BELGIUM, FRANCE, POLAND, PORTUGAL, THE
NETHERLANDS, SWITZERLAND AND THE CZECH REPUBLIC
* Please enclose a copy of the pedigree (front & back side).
C.I.B. (International Beauty Champion for breeds not subject to a working test)
C.I.E. (International Show Champion for breeds subject to a working test)
* Please tick the appropriate title
Dog’ Name
Breed & variety
Sex
MALE
Studbook
FEMALE
MÂLE
Registration number
FEMELLE
Birthdate
Owner’s NAME
Owner’s ADDRESS
Owner’s COUNTRY OF RESIDENCE
Owner’s E-MAIL
CACIBs obtained (a minimum of 4 & a maximum of 12 CACIB can appear on the title)
Date
Country
City
Judge
Catalogue number
PS: The title can only be confirmed if the FCI Secretariat has received the complete results of the shows (lists of results and
catalogue).
Please sent the application DULY FILLED IN to: champion@fci.be, by post or fax: +32 71 59 22 29