K.C.

I Form C\1
THE KENNEL CLUB OF INDIA APPLICATION FOR REGISTRATION OF A SINGLE DOG
(Founded 1896- Affiliated to the Kennel Club,London,1900) See Regulations 11,12(a),16 & 17 of K.C.I.Regulation for Regn. For Office use only
Regn.No__________________
Please write in BLOCK LETTERS or TYPE ALL NAMES and read the NOTE on reserve VERY CAREFULLY Before
filling in the form. Regn.No__________________
Breed or Variety______________________________________________________________________Sex____________ Fee Rs.__________by_______
Paid on___________________
NOTE : The dog may be registered in the first name applied for If available but owners must add two alternatives in case It Receipt No________________
is not or the application may be returned. In the event of any of the names applied for being inadmissible, the K.C.I.
will select a name, if the applicant marks X in the square on the right and such name shall be the ( ) registered name.
House or Pet Name______________________________
Name Applied 1____________________________________ 2___________________________________3________________________________________
Date of Birth ___________ ________________________Colour & Markings _________________________________________________________________
Sire___________________________________________ K.C.I.No____________ G.Sire_____________________________K.C.I No__________________
Owner of Sire_______________________________________________________
Dam__________________________________________ K.C.I.No____________ G.Dam____________________________K.C.I No__________________
Owner of Dam______________________________________________________
G.Sire_____________________________K.C.I No__________________
Breeder Mr./Mrs./Miss________________________________________________
Address___________________________________________________________ G.Dam____________________________K.C.I No__________________
*Breeder means the person who is the owner of the Dam at thetime of its whelping. Bred in India or Imported from_______________________________________
Unless a registration varying this definition has been effected under regulation No.25 IMPORTED DOG: Only in the case of an imported dog please fill in the particulars
(Loan of bitch for breeding purposes) “Bred in India” means that a dog is bred and required and mark X in box against (a) or (b) Whichever is applicable and strike out
begotten in India. Pups begotten abroad and born in India or on the voyage out shall the other (See regulation Address 16 and Note 1(iii) on reverse)
be deemed to be “imported” (a) Certified Pedigree No.________ dated _______issued by the_________
Kennel Club sent in original to be returned/Photostat copy to be Retained) attached.
PROVISIONAL REGISTRATION: If the dog is to be registered Provisionally Mark
X in the box on the left, (See Regulation 17 and Note 1 (IV) on reverse
Declaration to be signed by Owner/s (See Note 5 on reverse)
I/We hereby declare that the above dog is solely and unconditionally my / our property and that particulars given are true to the best of my / our knowledge and belief. I /
We further declare that I / We am/ are not suspended or disqualified or indebted to the Kennel Club of India or any registered Club or Dog Show or Dog Trial or Working
Trial or Field Trial in making this application. I/We agree to be bound by the Kennel Club of India Rules & Regulations & Bye Laws as may be amended & in force from
time to time and I/We do hereby acknowledge the jurisdiction of the Committee of the Kennel Club of India as the governing body for canine affairs in India and the Final
Court of Appeal or Umpire, on all questions or dispute or complaints or reports of any kind whatsoever arising in respect of Registered Club, Dog Shows, Dog Trials,
Working Trials and Field Trials and of the Registration or Transfer of name of any Dog or dogs and of any transaction in respect of breeding or sale or pedigree of any dog
or dogs, and I/We hereby expressly agree that the decision of the Committee upon any question or dispute or complaint or report shall be final and binding on me / us. The
dog has not been previously registered in India.
I/We hereby expressly agree that this dog shall not be registered with any other Kennel Club or entered or exhibited at any dog show i.e. organized without KCI sanction
or approval or judged by a person not authorized by the KCI. In case this is done I/We expressly agree that the KCI cancel the registration of the dog and all other
registrations held by me/us and have me/us debarred from all KCI controlled activities.
Date______________
Name/s___________________________________________ In order to register a dog SIGNATURE OF OWNER/S________________________
THIS FORM DULY COMPLETED AND SIGNED SHOULD BE
Address__________________________________________ one must be subscriber of SENT TOGETHER WITH THE REQUISITE FEE TO
the Indian Kennel Gazette
Reply For_________________________________________
Secretary,
THE KENNEL CLUB OF INDIA
Post Box No.6872, No.28,(Old No.89), AA Block First Street, Anna Nagar, Chennai – 600 040.

PLEASE READ THE FOLLOWING NOTES VERY CAREFULLY BEFORE FILLING IN THIS FORM
1.This application for Registration K.C.I.Form C/1 – should be used in the following case :
(I) For registration of a SINGLE DOG from a litter (Reg. 12 (a)
(II) For registration of a Dog whose breeding (Sire, Dam, Date of Birth etc) is not known partly or fully. A CERTIFICATE OF OPINION in the prescribed form duly
filled in and signed by the owner and by a judge whose name is on the panel of judges of the K.C.I. of competent to judge the breed. A separate Application Form and
a Certificate of Opinion with three Photos of the dog must be submitted for each dog. (Reg.11).
(III)For Registration of a DOG imported from abroad, the following documents must accompany the application; if the dog is registered abroad, Prof of landing and
EXPORT PEDIGREE issued by the KENNEL CLUB of the country of export in original which will be returned with a Photostat copy of the same, which will be
retained. A Separate application must be submitted for each imported dog. The particulars required should be filled in on the form (See item 1 (a) & (b) below the column
bred in India or imported from, on reverse (Reg 16).
(IV) For Registration of a dog PROVISIONALLY, the owner should mark X in the appropriate box on reverse (See item 2 below the column Bred in India or Imported
from ------------- (Reg.17).
(V) For Re-registration permanently of a dog previously registered provisionally, the applicant should indicate on the top of the form the Provisional Registration number
granted to the dog and return the Provisional Registration Certificate along with the form.
2. Registration Fee : (1) The fee for Registration of a dog Bred in India with unknown parentage is Rs.150/-.
(i) The FEE for REGISTRATION of a dog imported from abroad is Rs.500/- provided the document required under regulation 16 are submitted (see note 1
(iii) above.).
(ii) The FEE for REGISTRATION of a dog – imported – PROVISIONALLY is Rs.300/-
(iii) The FEE for REGISTRATION permanently of a dog previously registered PROVISIONALLY is Rs.500/-.
3. NAMING THE DOG – Before choosing the name for the dog previously registered, the owner is requested to note CAREFULLY the following CONDITIONS &
to give TWO ALTERNATIVE NAMES in addition to the first choice, so that in case the first name applied is inadmissible, the dog may be registered in one of the two
alternative names given.
(i) A dog NEED NOT BE REGISTERED in its pet or house name or in the name by which it is called. The pet or house name or the name to which the dog
responds has no connection whatsoever with its REGISTERED NAME which should be used in Pedigrees & other documents and when the dog is entered at a
Dog Show or Dog Trial etc.
(ii) THE NAMES OF NOTABLE PERSONS, TITLES, KENNELS, COUNTRIES, LARGE TOWNS, COMMON NAMES, WELL KNOWN DOGS
ABROAD (or) NUMBERS IN FIGURES (or) WORDS SHOULD NOT BE SELECTED. (Reg.13(c))
(iii) A name of names excluding a Registered prefix/affix shall not exceed TWENTY-FOUR letters except that in the case of an imported dog registered abroad the
same shall be registered in it is original name (Reg.13(e) & (g).)
(iv) A word or words SHALL NOT be used in the name of MORE THAN ONE DOG unless the same is registered as a PREFIX/AFFIX(Reg.13(b). If the owner
has already used a particular word or words in the name of a dog registered by him previously he cannot use the same word or words again unless he registers the
word or words as his prefix/affix (Reg.14). The main advantages of registering a word or words as a prefix/affix are (a) it serves as an indication that the dog has
been bred and registered by a particular person (b) it cannot be used by any other person except by the registered owner there of and (c) choosing names becomes
more easy.
(v) Application for Registration of PREFIX/AFFIX must be made in the prescribed from and the FEE for REGISTRATION of a PREFIX/AFFIX is Rs.2000/- and
is for life.
4. The dog mentioned on reverse must be solely and unconditionally the property of the applicant and the DECLARATION must be signed by him. In case of JOINT
OWNERSHIP the names of all the owners must be given and the DECLARATION MUST BE SIGNED BY ALL THE OWNERS.
5. THIS FORM DULY FILLED IN AND THE DECLARATION SIGNED WITH DATE SHOULD BE SENT ALONG WITH THE REQUISITE FEE Rs.150/-
(see Note 2 above) by M.O. or D.D. (the M.O. Postal receipt should be attached to the Application Form for reference) to THE SECRETARY, KENNEL CLUB OF
INDIA , No.28 (Old No.89) AA Block, 1st Annanagar, Chennai 600040.
6. The annual subscription to the Indian Kennel Gazette is Rs.300/-.