340 



ACT 39 AND 40 VIC. C. 77 



Certificate E. 



* Here insert 

 name, address, 

 and profession of 

 person to whom 

 Certificate is to 

 be given. (Sec. 

 11 of Act.) 



t Here insert 

 name, address, 

 and statutory- 

 qualification of 

 each person cer- 

 tifying. (Sec. 11 

 of Act.) 



WHEREAS * 

 has represented to us t 



that he proposes, if duly authorized under the above-mentioned 

 Act, to perform on dogs and cats the experiments described 

 below without anaesthetics : We hereby certify that, in our 

 opinion, for the reasons specified below, the object of any such 

 experiment will be necessarily frustrated unless it is performed 

 on an animal similar in constitution and habits to a dog or cat, 

 and that no other animal is available for any such experiment. 



{ This Certificate is given for. 



I This Certificate shall be in force until the. 

 19 



X A Certificate 

 may be given for 

 auch time or for 

 such series of ex- 

 periments as the - 

 person signing 01. 

 may think expe- 



desirabiTthat ** Signatures of Certifiers) f 



should 1 "" t0 be attaGhed here / 



inserted. If a 

 Certificate is un- Pi n f fi 

 limited, or limi- 



.experiments. 



.day 



ted by time only, 

 the Secretary of 



state usually im- g Description of experiments to 



a limit on 

 the number of 

 experiments to 

 be performed. 



§ This Certifi- 

 cate never stands 

 alone, but if it is 

 necessary it ac- 

 companies Certi- 

 ficate A, and the 

 description of the 

 experiments in 

 this Certificate 

 should be iden- 

 tical with the 

 description in 

 Certificate A. 

 This Certificate 

 is not required 

 when experiments 

 are performed 

 wilder the Licence 

 alone. 



be performed. 



Reasons why the object of 

 any such experiment will be 

 necessarily frustrated unless it 

 is performed on an animal simi- 

 lar in constitution and habits 

 to a dog or cat, and why no 

 other animal is available for any 

 such experiment. 



N.B. — This Certificate is subject to any conditions that may be assigned in 

 the Licence, and it will be the duty of the holder to refer to his 

 Licence and ascertain whether any of the conditions attached to the 

 Licence limit the number of experiments authorized by this Certificate, 

 or in any other way place restrictions on what may be done under 

 this Certificate. 



