Form for registration of guard dog kennels

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                                            Registration of Guard Dog Kennels
                                        
Dogs (Northern Ireland) Order 1983
APPLICATION FOR REGISTRATION OF GUARD DOG KENNELS
This registration form has a cost of £12.50

Section 1 : Applicant Details

                                            Title
                                            
                                            First Name:*
                                            
                                            Last Name:*
                                            
                                            Address Line 1:*
                                            
                                            Address Line 2:
                                            
                                            City or Town:*
                                            
                                            Postcode:*
                                            
                                            Country:*
                                            
                                            Email Address:*
                                            
                                            Phone Number:*
                                            
                                            Other Phone Number:
                                            
                                            Premises at which dogs are kept (if the same as postal address please write as above):
                                            
                                            No of dogs kept on the premises at the time of application:*
                                            
                                            No of bitches kept on the premises at the time of application:*
                                            
                                            Date of expiry of licence (dd/mm/yyyy):
                                            
                                            Number of previous licence (if any):
                                            
By submitting this application the applicant confirms that he/she is not under 16 years of age, has not been disqualified from keeping a dog under The Welfare of Animals Act (Northern Ireland) 1972.
Subject to approval of registration an application for dog licences will be forwarded to applicant.

                                            Full Name:*
                                            
                                            Date (DD/MM/YYYY)*
                                            
                                            Registration of Guard Dog Kennels Fees:
                                            
WARNING: An applicant for a dog licence or registration of guard dog kennels who knowingly and wilfully makes a statement in this form which is false in a material particular is liable to prosecution.
For further information please contact ehealth@lisburncastlereagh.gov.uk  +44 (0)28 9250 9394
Lisburn City Council, Environmental Health, Island Civic Centre, The Island, Lisburn BT27 4RL
Data Protection & Privacy
Lisburn & Castlereagh City Council collects the data on this form for the purposes of the management and application of the Dogs (Northern Ireland) Order 1983.  This data may also be passed to other relevant Government agencies.
Report, Pay, Apply

Registration of Guard Dog Kennels

Section 1 : Applicant Details
