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FORM - 035 Transfer of Animal Ownership Form

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Doc: DVS FORM 035
Revision: 0
Date: July 2020
TRANSFER OF ANIMAL OWNERSHIP FORM
Instructions:
The form must be completed in BLOCK/CAPITAL letters
The original copy must be submitted to DVS office
The farmer should keep a copy for future enquiries
All sections must be correctly and fully completed
Form must be filled in duplicate
1) Current keeper details
2) New keeper details
Page 1 of 3
Department of Veterinary Services
Effective Date August 2020
Doc: DVS FORM 035
Revision: 0
Date: July 2020
6) New Owner Brand Details
EID No.
Analogue Tag No.
-
1
2
3
4
5
6
7
8
9
10
-
11
12
13
14
15
Current Keeper
I hereby declare that the information provided is correct to the best of my knowledge.
Name ………………………………………………………………………………………………………………………………... Signature………………………………..………
(in full)
Date …./……/…….…………..…..… Telephone/Mobile……………………………….
Page 2 of 3
Department of Veterinary Services
Effective date August 2020
Doc: DVS FORM 035
Revision: 0
Date: July 2020
This Oath was taken before Commissioner of Oath:
Name ………………………………………………………………………………………………………………………………... Signature………………………………..………
(in full)
Date …./……/…….…………..…..… Location…………………………………..……………………………….
Stamp:
Page 3 of 3
Department of Veterinary Services
Effective date August 2020
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