Queensland Working Sheep Dog Association - Form of Application for Registration
For the transfer of registered dogs (dogs with Q number or corresponding state working sheep dog registration, that are to be trialled in QLD)
*THIS FORM IS TO BE COMPLETED BY THE CURRENT OWNER Registered Owner(s)
(Present Owner)
Name
*
Phone
*
Email
example@example.com
Details of New Owner(s)
Name
*
(New Owner)
Address
*
(Please include full address)
Phone Number
*
Email
example@example.com
Dog Particulars
Name of Dog
*
Registration No.
*
Registration transfer payment details
Please pay corresponding transfer fee ($10) to Account name: Queensland Working Sheepdog Association Inc.; BSB: 484-799; Account Number: 204 296 370; Reference: (Your Name) dog transfer
I/We being the current Registered Owner(s) solemnly declare that we have disposed of this animal to the person(s) named above and hereby apply to register the Transfer.
*
Effective Date of Transfer
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Submit
Submit
Should be Empty: