APPLICATION FOR REGISTRATION OF TRANSFER OF THIS DOG

Name of Dog____________________Reg Number_________Breed____________ Sex______________

Details of New Owner
Mr
Mrs
Miss
Ms Initials Surname
Address
Home Phone
Postcode Mobile Phone
I/We herby apply to register the transfer of the above dog from the present registered owner
_________________________________________________________________________
Signature of new owner
I/We being the present registered owner/s have disposed of this dog to the person(s) named above
_________________________________________________________________________
Signature of all present registered owner(s)
This application along with the transfer fee of $5.00 payable to the NSW Sheep Dog Workers Inc to be sent to;
NSW Sheepdog Workers Association Inc
The Registrar
c/o 59 Birdwood Ave., Winmalee NSW 2777