CONDITIONS OF ENTRY FORM – FIRST PAGE Please complete the two page form and send to IDW, PO BOX 563, Tullamarine BC, 3043 with Entry Form/s & Payment BREED: NO. OF CATTLE: EXHIBITOR DETAILS Exhibitor Name: Stud Name: NLIS Device (RFID or Tag Number): Postal Address: Town: Phone: ( State: ) Postcode: Mobile: Email: OWNER / EXHIBITOR DECLARATION – REFER EXPLANATORY NOTES IF NOT SURE PLEASE TICK AS APPROPRIATE PART 1 The cattle identified originate from a Zone for Bovine Johne’s Disease (BJD): Non-Assessed (if Non-Assessed, Part 2 is not required) (If you are unsure of your Zone, please contact your local state animal health office) Free Zone (WA, NT) Protected Zone Control Zone PART 2 These cattle identified originated from assessed herds under the Cattle MAP, with status attained in the year indicated: Herd Status Certificate No: __ __ __ __ __ __ __ __ __ __ __ Date of expiry: __________ MN1 MN2 MN3 OR The cattle identified above originate from herds that have been tested negative in the past 12 months: Name of vet: _______________________________________ Date of test: ____________ Check Tested Tested 4 Year Old Tested to MAP Standard OR The cattle identified originate from an approved BJD control program approved by State or Territory for an infected herd. High Prevalence Moderate Prevalence Low Prevalence Restricted 1 Restricted 2 OR The cattle originate from herds that have been classified as infected or suspect and have not been tested to achieve a status under sections above. Infected Suspect OR The cattle originate from herds that have been declared to have a Dairy BJD Score of 7 or higher. 7 Or higher Note: Exhibitors may also need additional certification to move between Zones or between States. Please check with your local veterinary authority. NLIS Scan All animals brought onto the showground’s must be scanned by NLIS representatives. Please contact Brendan Carey on 0428 713 704 before leaving the showground if your cattle have not been scanned. CONDITIONS OF ENTRY FORM – SECOND PAGE Please fill out and send to IDW, PO BOX 563, TULLAMARINE BC, TULLAMARINE VIC, 3043 with Entry Form and Cheque. I / we ________________________________________________ as the owner of cattle entered and exhibited at International Dairy Week, agree to the following; 2013 Entry Fees Fee $35.00 including GST per entry entered (i.e. if animal is entered twice fee = $35.00 x 2 + $45.00) Bedding $45.00 including GST per animal entered Catalogue $8.00 including GST Closing Date December 7th 2012 (entries posted on closing date shall be accepted) Late Entries Accepted @ $120.00 including GST per entry entered (includes entry & bedding) Random Testing Random testing of exhibited cattle will be conducted on every first and second milk place getter and any other cattle at the judges or stewards discretion. Provision of Name/Address for Official Sponsors & Media Consent Media coverage is both beneficial to the success of International Dairy Week and your own Stud herd. This may include newspapers, TV, radio or trade publications. Your details may also be given to authorised official sponsors of IDW. Prize Money Payment Details (A) Please tick ONE OF (A) OR (B) ONLY and complete relevant section for payment of prize money. HOBBYIST DECLARATION: (B) I declare that the goods and services supplied to International Dairy Week are done as a private recreational pursuit or hobby, or are domestic in nature. I understand that the prize money will be made payable to the name/s as listed on this entry form. Tick if applicable: I would like prize money to be made payable to a payee other than that listed on this Entry Form (ie for Exhibitors entering as a group). BUSINESS ENTERPRISE GST is payable on prizes if an Exhibitor is registered for GST and enters an Exhibit as part of a business enterprise. In such circumstances, prize money will ONLY be made payable to the Registered Name of the GST registered business, person or entity. ABN is: PLEASE MAKE PRIZE MONEY CHEQUE PAYABLE TO: ______________________________________________ EFT Payment Details: Prize money to be paid electronically to the following account: Name on Account: _______________________________ BSB NO: __ __ __ __ __ __ Account NO: _______________ Public Liability Insurance Insurance Company name in full: Policy Number: Period of Insurance: Limit of Public Liability Cover: By signing below you agree to all of the above conditions. I, Owner / Manager / Exhibitor (print name) ___________________________________________________________ declare that the information on this form is correct and I attest that I have documentary evidence to substantiate this declaration. Signature: ______________________________________________ Date: ______________________ EXPLANATORY NOTES – HEALTH DECLARATION PART 1 Herds that are not known or suspected to be infected, and have not qualified for one of the statuses in Part 2 by testing, are classified as Non-Assessed. The risk that they are infected is determined by their location. If you are unsure of your Zone, please contact your local state government animal health office. PART 2 MN1 to MN3 are Monitored Negative statuses in the Australian Johne’s Disease Market Assurance Program for Cattle (Cattle MAP). The herd’s approved veterinarian issues a herd status certificate that is valid for 12 months. Check Tested, Tested 4 Year Old and Tested to MAP Standard are statuses allocated to herds that have had a negative test by an approved veterinarian. A Check Test is a test of 50 adult cattle (2 years of age and older) in the herd that are most likely to be infected in the previous 12 months. Tested 4 Year Old and Tested to MAP Standard are tests of all or a large sample of the cattle over 4 year’s old and 2 years old respectively in the previous 24 months, and these statuses can be maintained by a Check Test every 24 months. An approved BJD control program is approved by the State or Territory animal health authority for an infected herd. The authority allocated the herd status to reflect the stage of the herd’s progress. High Prevalence herds have more than 4% of cattle (4 years and older) test positive by ELISA or have not been tested and Moderate Prevalence herds have equal to or less than 4% test positive by ELISA. A Low Prevalence herd has 2% or less ELISA positives among cattle that are 4 years and older (or 1.5% or less in cattle 2 years and older). Restricted 1 and Restricted 2 are statuses for infected herds that have had one and two consecutive negative herd tests respectively in an office control program, as per the Standard Definitions and Rules for BJD. The herd is classified by the animal health authority as infected or suspect and has not been tested to achieve a status under the sections above. The National Dairy BJD Scoring Scheme is a simple method of scoring ALL dairy herds in relation to their risk of having, or spreading, BJD. Herds will have a score of 0 to 10 depending on where the herd is in Australia, the history of Johne’s disease in the herd, the history and outcomes of testing for Johne’s disease, and the calf rearing practices in the herd. If you would like to assess your own herd for a Dairy BJD Score, please visit the Department of Primary Industries website http://www.dpi.vic.gov.au for a step by step form to help you work out the appropriate score. DISCLAIMER: Making a false or misleading declaration may make the signatory liable to prosecution and/or civil action under the Trade Practices Act 1974 and relevant State legislation. The information contained in this form is gathered from third parties and IDW does not warrant its accuracy and advises that any such information may be subject to change or amendments occurring after publication and thereby making the information incorrect.