176 



COMMISSION OF CONSERVATION 



APPLICATION FORM FOR FOUNDATION STOCK 



Undbr Rule 1 



NOTE: 



(1) If the person signing the Certificate of Breeding for this application is 

 not the recorded owner of dam, transfer of dam is required. 



(2) If the person signing as owner of service sire is not the recorded owner 

 of sire, transfer of sire is required. 



Standard Bred Register : Number (to be filled in by Registrar) 



Application by Address 



Made under Rule 



Name oi? Animal 



Sex 



WHE^f Whelpbd 



Where Bred 



Natural Markings Malformation (if any) 



Number of pups in litter Male Female. 



Bred by 



Whelped property of 



2nd Owner 



Date of sale to second owner.. 

 3rd Owner 



Date of sale to third owner 



Also all other owners down to present with Post Office Address 



Post Office 



Province 



SIRE No DAM No. 



Bred by Bred by 



Whelped property of Whelped property of 



When whelped When whelped 



2nd owner 2nd owner 



Date of sale to 2nd Date of sale to 2nd 



Present owner Present owner 



Date of sale to present Date of sale to present 



Colour Markings Colour Markings 



