中国畜牧业协会犬业分会
CHINA NATIONAL KENNEL CLUB (CNKC)
犬只纯种登记申请表
CERTIFICATE OF PUREBRED APPLICATION FORM
本人为以下犬只的主人,欲申请中国畜牧业协会犬业分会(CNKC)犬只纯种登记注册.
I, the owner of the dog detailed below, wish to apply for certificate of purebred from China National Kennel Club (CNKC). I declare that all the details relating to the origin of the dog have been furnished to the best of my knowledge.
登记费: 人民币300元(包含芯片注射).
Registration Fee: 300RMB(include microchip cost).
犬名 Name of dog
犬种 Breed 毛 色 Color
性别 Sex 出生日期 DOB
繁殖者Breeder 来 历 Acquired from
犬主 Name of owner 犬舍名称 Kennel
地址 Address 邮编Zip Code
电话 Telephone No. 手机 Mobile 传真Fax
犬主签名 Signed 日期 Date
中国畜牧业协会犬业分会(CNKC)审查员根据"中国纯种犬登记管理暂行办法",经过审查准予对上述犬只核发纯种鉴定书.
Authorized Personnel of China National Kennel Club (CNKC) have examined the above and to the best of our knowledge and judgment that this dog could be granted for Certificate of Purebred.
犬籍部签字Signature of Stud Book Personnel 日期 Date
CNKC秘书处制表
证书编号:
芯片号码:
会员编号:
申请日期:
申请地点: