FORM HBA. AF Department of Agriculture, Food and the Marine European Communities (Bovine Breeding) Regulations 2009 (SI 19 of 2009) Application Form for approval to maintain a Bovine herd-book Name of applicant body: Address: Tel. No: Mobile No: Fax No: e-mail address: Fax No: e-mail address: Name of contact person: Address: Tel. No: Mobile No: Details of Applicant Body Form of Legal personality: If a company specify company type: Company Office Registration Number: VAT No: Office facilities Office location: Office Hours of business: Staff resources: List office equipment Other Details Herd-book name Number of members in organisation Dates on which the meetings of the organisation will be held D:\116107636.docHBA AF Version2 Page 1 of 3 Number of registered animals used for breeding by members (year ended December 200 ) No. of calves registered Do you have a breed improvement/preservation programme? Is the main section of the Herd Book divided ?- If yes give details Is there a supplementary register for grade-up of animals ? State the jurisdiction/s in which your organisation proposes to operate Outline how you propose to provide such a service Females Males Females Males Yes No Supply details of your proposed pedigree certificate issuing system Please supply sufficient information in your application to satisfy the Minister for Agriculture, Food and the Marine (the Minister) that your organisation: 1. (a) has the potential to operate efficiently; (b) Can carry out the checks necessary for recording pedigrees; (c) Has a sufficiently large herd to carry out a breed improvement programme or that it has a sufficiently large herd to preserve the breed where this is considered necessary; (d) can make use of the livestock performance data necessary for carrying out its breed improvement or preservation programme. 2. (a) Has a set of rules covering: - - the definition of the breed’s characteristics, including the name of the breed; the system for identification and registration of animals in accordance with the system and content of the database required by Regulation (EC) No 1760/2000 and the rules adopted for its implementation (i.e. Department approved yellow ear tag); the system for recording pedigrees; the definition of its breeding objectives; which in the case of the establishment of a herd-book for a new breed, shall include the detailed circumstances of the establishment of the new breed; the system for making use of livestock performance data; the division of the herd-book, if there are different conditions for entering animals, or if there are different procedures for classifying animals entered in the book. 3. Have rules of procedure adopted in accordance with its articles of association laying down, in particular, the principle of non-discrimination between members. D:\116107636.docHBA AF Version2 Page 2 of 3 4. Has a documented dispute resolution procedure. Supporting documentation which must accompany your application Proof of legal personality Memorandum and Articles of Association Copy of previous three years audited accounts where available Details of Company Directors if any Details of Shareholding if any Rules of company/organisation Herd-Book Rules Details of breed improvement/preservation programme Sample copy of pedigree certificate issued to pedigree breeding bovines, their semen, ova and embryos A Statement from Register of Friendly Societies or the Companies Registration Office as to the current status of the society in relation to the annual/triennial returns required by the Register/CRO PLEASE NOTE 1. A person who when making an application for approval wilfully makes a false or misleading statement shall be guilty of an offence. 2. The Minister may upon receipt of an application for approval, require such information from the applicant as is considered necessary to ensure that the provisions of Directive 77/504/EEC and Decision 84/247 will be complied with and to decide whether or not to grant the approval. 3. The details of applications and approvals etc. are stored by computer programme for the purpose of administering the Bovine Herd-Book approval system. Under the Data Protection Act 1988 as amended by the Data Protection Act 2003, you are entitled to a copy of any information about you kept on computer and you have the right to have any errors rectified. Listings giving names and addresses of approved bodies are published on the EU Commission website. 4. It should be noted that information provided by you may be subject to disclosure under the Freedom of Information Acts (FOI) 1997 and 2003. If you wish to have any of the records concerned protected under the Confidentiality, Commercially Sensitive, Personal Information or other exemption provisions of that legislation you should mark those records accordingly and state your reasons. The relevant exemptions will then be considered in the event of an FOI request relating to those records. I hereby declare: (a) that I have read and undertake to comply with the Terms and Conditions. (b) that the particulars given in this application are true to the best of my knowledge and belief. Signature: ________________________________________ Date: _________________ Completed applications should be returned to: Livestock Breeding Section, Department of Agriculture, Food and the Marine, Government Buildings, Farnham St. Cavan. Tel. No: (049) 4368293 D:\116107636.docHBA AF Version2 Page 3 of 3