City of Joondalup Forms – A Global City: Bold | Creative

Type of Animal*

Cat
Dog

I declare that :

a. I am not, or the new owner is not, under eighteen years of age;

b. The particulars shown in this application are true to the best of my knowledge and belief; and

c. I certify for the purpose of Sect 9(2)(e) of the Cat Act 2011, I have not been convicted of an offence under the Cat Act 2011, Dog Act 1976 or Animal Welfare Act 2002 within the last 3 years.

I declare that :

a. I am not, or the new owner is not, under eighteen years of age;

b. The particulars shown in this application are true to the best of my knowledge and belief; and

c. I certify for the purpose of Sect 16 (1a) of the Dog Act 1976, that means exist on the premises at which the dog will ordinarily be kept for effectively confining the dog within those premises.

d. I certify for the purpose of Sect 16 (3a) of the Dog Act 1976, I have not been convicted of an offence under the Cat Act 2011, Dog Act 1976 or Animal Welfare Act 2002 within the last 3 years.

e. I am not currently banned, or have ever been banned from owning a dog under the Dog Act 1976 either permanently or for a period specified.

Existing Owner and Registration Details

Existing Owner's Name*

Prefix First Last

Existing owner's contact phone number*

Council where animal is currently registered*

City of Joondalup

Animal Tag or Licence Number*

Has your dog been Declared Dangerous?*

Yes
No
I don’t know

Proof of Registration*

i.e. Certificate of Registration. You can attach a picture of the document taken from your phone or camera.
IMPORTANT: Please ensure the image is large enough and legible. If an image is not suitable, we will need to request additional images.

Accepted file types: jpg, jpeg, png, gif, pdf, Max. file size: 10 MB.

Is the animal currently registered for "Life Registration"?*

No

Yes

I don’t know

Expiry date of existing licence
DD slash MM slash YYYY

New Owner's Details

New Owner's Name*
Prefix First Last

New Owner's residential address*
New address within the City of Joondalup

Address where the animal will ordinarily be kept*

Mailing address*

Same as residential address

Different mailing address

Mailing Address Details*
Street Address Address Line 2 Suburb State Post Code Country

New Owner's Phone Number*

Alternative Phone Number

New Owner's Email Address*

New owner's date of birth*
DD slash MM slash YYYY

Pension / Concession proof
Please upload a photo of your pensioner / concession card.
You can attach an picture of the card/document taken from your phone or camera.
IMPORTANT: Please ensure the image is large enough and legible. If an image is not suitable, we will need to request additional images.
Accepted file types: jpg, jpeg, png, gif, pdf, Max. file size: 10 MB.

Animal Details

Animal Detail*
Name Breed Colour Gender (Female/Male)

Animal Date of Birth
DD slash MM slash YYYY

Photo of your pet*
To assist in identifying your pet should it be lost or stolen, please attach a clear and up to date photo of your pet.
IMPORTANT: Please ensure the image is large enough. If an image is not suitable, we will need to request additional images.
Accepted file types: jpg, jpeg, png, gif, pdf, Max. file size: 10 MB.

Proof of Sterilisation*
Please upload one of the following:
• Veterinary Surgeon’s Certificate
• Signed Statutory Declaration You can attach an picture of the document taken from your phone or camera.
IMPORTANT: Please ensure the image is large enough and legible. If an image is not suitable, we will need to request additional images.
Accepted file types: jpg, jpeg, png, gif, pdf, Max. file size: 10 MB.

Is your animal exempt from microchipping?*
Some animals may be exempt from microchipping due to old age or ill health that would prove detrimental to the animal. Proof is required.

No

Yes

Microchip No*
A valid microchip number must be supplied. Failure to do so will result in the delay of registration until the microchip number has been received and verified by the City.

Microchipping Exemption Proof*
Proof of microchip exemption must be provided by a veterinarian and attached below. You can attach an picture of the document taken from your phone or camera.
IMPORTANT: Please ensure the image is large enough and legible. If an image is not suitable, we will need to request additional images.
Accepted file types: jpg, jpeg, png, gif, pdf, Max. file size: 10 MB.

Proof of Microchip*
Please upload one of the following:
• Veterinary Surgeon’s Certificate
• Copy of the microchip certificate/paperwork You can attach an picture of the document taken from your phone or camera.
IMPORTANT: Please ensure the image is large enough and legible. If an image is not suitable, we will need to request additional images.
Accepted file types: jpg, jpeg, png, gif, pdf, Max. file size: 10 MB.

Proof of Sterilisation*
All cats over the age of six months must be sterilised. Please upload one of the following:
• Veterinary Surgeon’s Certificate
• Signed Statutory Declaration You can attach an picture of the document taken from your phone or camera.
IMPORTANT: Please ensure the image is large enough and legible. If an image is not suitable, we will need to request additional images.
Accepted file types: jpg, jpeg, png, gif, pdf, Max. file size: 10 MB.

Proof of transfer of ownership

Proof of Transfer of Ownership*
Please upload a signed document from the previous owner stating the transfer of ownership of the dog to the new owner.
This document must include the following items:
– Date of transfer
– Name of previous owner
– Name of the animal
– Animal breed (for dogs)
– Signature of the previous owner

You can attach an picture of the document taken from your phone or camera.
IMPORTANT: Please ensure the image is large enough and legible. If an image is not suitable, we will need to request additional images.
Accepted file types: jpg, jpeg, png, gif, pdf, Max. file size: 10 MB.

Comments
This field is for validation purposes and should be left unchanged.

Animal registration – Transfer existing cat or dog registration

Existing Owner and Registration Details

New Owner's Details

Animal Details

Proof of transfer of ownership