APPLICATION FORM FOR THE KOREAN CHAMPION TITLE * Please make sure that the applying dog/bitch has fulfilled the following conditions. a) The dog/bitch should be registered in FCI members or contract partners’ organization. b) The owner of the dog/bitch has already been a member of the Korea Kennel Federation. c) The dog/bitch has already been awarded 4 CACs(must at least 1 M.CAC). d) 4 CACs should be awarded under at least 2 different judges. e) The last CAC must be obtained within 4 years after the dog/bithc has attained the first CAC. Breed (Variety) Name of Dog Registered Country Registration Number Sex Date of Birth Name of Owner Mailing Address CAC obtained: DATE CITY/TOWN DOG SHOW (FCI/AKU/KKF) AWARD RECORDS CATALOGUE NUMBER * Required attachment: A photocopy of pedigree. (if the dog/bitch has been registered in the Korea Kennel Federation, you should send the original pedigree to the KKF office with the Microchip Implant Registration Certificate) * Registration Fee : 100,000 KRW (regitration fee must accompay application. Payment may be paid by cash) * A premium charge will be added for an express delivery. I hereby certify that, to the best of my knowledge and belief, the information contained in this application is true and accurate. I agree to abide by Korea Kennel Federation rules and regualtions. Date: Appicant : Signature: Address : Korea Kennel Federation, 5F, 252-23, Yongdu-dong, Dongdaemun-gu, Seoul, Rep. of Korea E-mail : kkfinfo@hotmail.com Tel : +82 2 2278 0661 Fax : +82 2 2277 4073