Directorate Animal Production
Private Bag X138, Pretoria (Tshwane), 0001
Delpen Building, C/o Annie Botha & Union Street, Riviera, 0084
Enquiries: Mr L A Mabena
Animal Product Technician: Animal Improvement
Tel: 012-319-7434 Fax: 012-319-7570 / 7425 E-mail: LesibanaMa@nda.agric.za
APPLICATION FOR RENEWAL OF THE APPROVAL FOR AN ANIMAL
FOR THE COLLECTION OF SEMEN [SECTION 9(2)(a)]
CONFIDENTIAL
ANIMAL IMPROVEMENT ACT, 1998 (ACT NO. 62 OF 1998) AND
THE REGULATIONS PROMULGATED ON TERMS THEREOF
NAME OF APPLICANT (juristic person)
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Name and address of centre
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Specie ________________________________________ Breed __________________________________________
Name of animal: ________________________________________________________________________________
Nick name ______________________________________ AI-code ________________________________________
Studbook registration no.: _________________________________________________________________________
-2-
I THE UNDERSIGNED, HEREBY DECLARE THAT THE PARTICULARS OF THE ANIMAL MENTIOND ABOVE, AS
WELL AS THE ATTACHED DOCUMENTS ARE TO THE BEST OF MY KNOWLEDGE TRUE AND JUST:
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SIGNATURE OF AUTHORISED OFFICIAL:
DATE
CAPACITY ______________________________________________________________________