DATE ________________ APPLICATION FORM This form serves as an application and forms part of a screening process. Once an auction date is reserved, a contract will be signed, indicating the final reserve prices at which your game should be sold SELLERS NAME ____________________________________________________________________ FARM AND DISTRICT_______________________________________________________________ PERSONAL INFORMATION FULL NAME: ________________________________________________________________________ PHYSICAL ADDRESS: ________________________________________________________________ ________________________________________________________________ POSTAL ADDRESS:_____________________________________________________CODE:______________ CONTACT NUMBERS: (Cellphone)_________________________Landline_____________________ (Alternative No)_________________________Fax_________________________ EMAIL ADDRESS:____________________________________________________________________ COMPANY / BUSINESS NAME_________________________________________________________ COMPANY REGISTRATION NUMBER___________________________ VAT NUMBER_______________________________ NOT REGISTERED TYPE OF BUSINESS: Sole Trader Partnership Closed Corporation Trust Private Company/Entity WEBSITE:________________________________________________________________________ 1/5 ANIMAL(S) FOR SALE – Group 1 USE ONE FORM PER GROUP/POTENTIAL LOT OFFERED 1. WEB PAGE HEADER INFORMATION ANIMAL SPECIE (INDICATE IF COLOUR VARIANT) IF GROUP – NUMBER OF ANIMALS IN GROUP GROUP – SPECIFY NUMBERS IN THIS GROUP MALE/FEMALE/LAMBS/CALVES Male animals Female animals Heifers Lambs/Calves 2. PRICING STRUCTURE UNIT PRICING (√) ESTIMATED RESERVE PRICE Per Head Per Group 3. STATISTICAL INFORMATION GOOD QUALITY PHOTOGRAPHS AVAILABLE HORN MEASUREMENTS MICROCHIP NUMBER TAG INFORMATION DNA SAMPLING INFORMATION ABOUT AGE INFORMATION ABOUT PARENTS OR GENEALOGY Yes Yes Yes Yes Yes Yes Yes No No No No No No No 4. DESCRIPTION Please provide a full and complete description of features, outstanding marks or any information that will positively influence a prospective buyer. Animal’s health (eg TB Testing, Corridor feaver, etc), breeding capabilities, past breeding results, genealogy (information about parents and grandparents) etc. 2/5 ANIMAL(S) FOR SALE – Group 2 USE ONE FORM PER GROUP/POTENTIAL LOT OFFERED 1. WEB PAGE HEADER INFORMATION ANIMAL SPECIE (INDICATE IF COLOUR VARIANT) IF GROUP – NUMBER OF ANIMALS IN GROUP GROUP – SPECIFY NUMBERS IN THIS GROUP MALE/FEMALE/LAMBS/CALVES Male animals Female animals Heifers Lambs/Calves 2. PRICING STRUCTURE UNIT PRICING (√) ESTIMATED RESERVE PRICE Per Head Per Group 3. STATISTICAL INFORMATION GOOD QUALITY PHOTOGRAPHS AVAILABLE HORN MEASUREMENTS MICROCHIP NUMBER TAG INFORMATION DNA SAMPLING INFORMATION ABOUT AGE INFORMATION ABOUT PARENTS OR GENEALOGY Yes Yes Yes Yes Yes Yes Yes No No No No No No No 4. DESCRIPTION Please provide a full and complete description of features, outstanding marks or any information that will positively influence a prospective buyer. Animal’s health (eg TB Testing, Corridor feaver, etc), breeding capabilities, past breeding results, genealogy (information about parents and grandparents) etc. 3/5 ANIMAL(S) FOR SALE – Group 3 USE ONE FORM PER GROUP/POTENTIAL LOT OFFERED 1. WEB PAGE HEADER INFORMATION ANIMAL SPECIE (INDICATE IF COLOUR VARIANT) IF GROUP – NUMBER OF ANIMALS IN GROUP GROUP – SPECIFY NUMBERS IN THIS GROUP MALE/FEMALE/LAMBS/CALVES Male animals Female animals Heifers Lambs/Calves 2. PRICING STRUCTURE UNIT PRICING (√) ESTIMATED RESERVE PRICE Per Head Per Group 3. STATISTICAL INFORMATION GOOD QUALITY PHOTOGRAPHS AVAILABLE HORN MEASUREMENTS MICROCHIP NUMBER TAG INFORMATION DNA SAMPLING INFORMATION ABOUT AGE INFORMATION ABOUT PARENTS OR GENEALOGY Yes Yes Yes Yes Yes Yes Yes No No No No No No No 4. DESCRIPTION Please provide a full and complete description of features, outstanding marks or any information that will positively influence a prospective buyer. Animal’s health (eg TB Testing, Corridor feaver, etc), breeding capabilities, past breeding results, genealogy (information about parents and grandparents) etc. 4/5 ANIMAL(S) FOR SALE - Group 4 USE ONE FORM PER GROUP/POTENTIAL LOT OFFERED 1. WEB PAGE HEADER INFORMATION ANIMAL SPECIE (INDICATE IF COLOUR VARIANT) IF GROUP – NUMBER OF ANIMALS IN GROUP GROUP – SPECIFY NUMBERS IN THIS GROUP MALE/FEMALE/LAMBS/CALVES Male animals Female animals Heifers Lambs/Calves 2. PRICING STRUCTURE UNIT PRICING (√) ESTIMATED RESERVE PRICE Per Head Per Group 3. STATISTICAL INFORMATION GOOD QUALITY PHOTOGRAPHS AVAILABLE HORN MEASUREMENTS MICROCHIP NUMBER TAG INFORMATION DNA SAMPLING INFORMATION ABOUT AGE INFORMATION ABOUT PARENTS OR GENEALOGY Yes Yes Yes Yes Yes Yes Yes No No No No No No No 4. DESCRIPTION Please provide a full and complete description of features, outstanding marks or any information that will positively influence a prospective buyer. Animal’s health (eg TB Testing, Corridor feaver, etc), breeding capabilities, past breeding results, genealogy (information about parents and grandparents) etc. 5/5