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Cats – Apply to breed cats or renew cat breeding licence

Rangers Administration – application to breed cats

Applicant Details (must be over 18 years of age)
Cat Owners Name*
Title Given Name(s) Surname
Date of Birth*
DD slash MM slash YYYY
Residential Address*
Mobile Phone
Other Phone
Email*
Alternative Contact (must be over 18 years of age)
Alternative Contact Name*
Title Given Name(s) Surname
Date of Birth*
DD slash MM slash YYYY
Residential Address*
Mobile Phone
Other Phone
Email
Property Details where cat(s) will be kept
Will cat be kept at residential address as listed above?*
- Yes
- No
Address where cat will normally be kept*
Details of cat(s) subject to this application
Total number of breeding cats for this application*
Please record full details for each cat in table below
Cat Details*
Name Breed Colour Age (Years) Sex F/M Microchip No
Attachments required
Breeding and management description*
Detailed description of breeding arrangements and management of breeding cats and kittens (please also cover disposal of waste, noise control and frequency of customer’s attendances).
Site plan*
Site plan (to scale) detailing where cats will be kept on property showing proximity to all structures.
Enclosure detail*
Details of any enclosures (must comply with the minimum breeding and housing standards)
Membership of prescribed organisation (copy of current membership to be attached)
- COAWA
- FCCWA
- ANCATS
Organisation Membership Details*
Previous Conviction
Do you have any convictions for offences against this Act, Dog Act 1976 or Animal Welfare Act 2002 in the past 3 years?*
- No
- Yes
Conviction Detail*
Declaration*
I declare that all the information provided above is true and correct. I am aware that it is an offence to provide false or misleading information.
- Yes
Payment Details
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payment_process_mode
NOTE: THE PAYMENT PROCESSING CONTROLS ON THIS FORM ARE CURRENTLY SET FOR TEST MODE
(Use either 5555444433331111 or 4444333322221111 for the Credit Card No. with 111 as the CCV)
Payment Type Code
Application Fee (GST N/A)*
Price: $ 100.00
Total (GST N/A)
$ 0.00
This field is hidden when viewing the form
GST Info
This field is hidden when viewing the form
Payment Type
Credit Card*

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Name
This field is for validation purposes and should be left unchanged.

Name	Breed	Colour	Age (Years)	Sex F/M	Microchip No

Cats – Apply to breed cats or renew cat breeding licence

Applicant Details (must be over 18 years of age)

Alternative Contact (must be over 18 years of age)

Property Details where cat(s) will be kept

Details of cat(s) subject to this application

Attachments required

Previous Conviction

Payment Details