Form: AC-B1
Registration of premises under Article 4 of Council Directive 92/65/EEC for trade purposes (Dogs, Cats
or Ferrets) between Member States
FORM OF UNDERTAKING
I ______________________ being the owner / person in charge of the Holding/premises situated at the location described
below hereby apply to the Department of Agriculture, Food and the Marine for the registration of this holding/premises in
accordance with Article 4 of Directive 92/65/EEC. I understand that a private veterinary practitioner must be engaged to
ensure the day to day compliance with the requirements of the Directive.
Name of Owner/Person in charge_______________________________
PPS number or ICC Number _____________________
Address of Holding/premises: ________________________________________
______________________________________________________________
Existing Herd No (if any)
Telephone ___________________
email address _______________________
Name of Private Veterinary Practitioner: __________________________________
PVP Address: ___________________________________________________________
___________________________________________________________________
PVP Telephone No:_____________________
I agree to undertake to comply with the conditions of registration as follows:
Conditions of Registration under Council Directive 92/65 (Balai Directive)
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The premises and dogs resident there must be examined regularly1 by the nominated private veterinary
practitioner.
Comply with any measures required by the Department of Agriculture, Food and the Marine to carry out
monitoring or surveillance for animal disease.
Place on the market for trade, only dogs which show no signs of disease and only at a time when the holding and
area in which they are located is not subject to animal health restrictions.
Ensure that the welfare requirements of the dogs are complied with.
Failure to comply with any of the above conditions will result in your Balai Registration being revoked.
Signed:
Date
The PVP inspection report must accompany the application
1
Prior to registration and at least once every 12 months thereafter.
The applicant should send the completed form to: Ann Henry, Live Trade Section, Animal Health and Welfare
Division, Department of Agriculture, Food and the Marine, Kildare Street, Dublin 2.
Phone 01-6072061, Fax: 01-6619031 livetrade@agriculture.gov.ie