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