Application For A Licence To Keep A Breeding Establishment For Dogs

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ANIMAL WELFARE ACT 2006
THE ANIMAL WELFARE (BREEDING OF DOGS) (WALES) REGULATIONS 2014
APPLICATION FOR A LICENCE TO KEEP A BREEDING ESTABLISHMENT FOR DOGS
1. Applicant
Applicant/s Full Name:
……………………………………………………………………………………………………………
If applicable trading as:
……………………………………………………………………………………………………………
(Please PRINT full name/s, as this will appear on your licence)
Address: ………..………………………………………………………………….............................
……………………………………………………………………………………………………………
..…………………………………………………………………………………………………………..
Telephone number: ………………………………………………………………………….............
Mobile number: ………………………………………………………………………………………..
E-mail address: .........................................................................................................................
2. Have you ever been convicted or disqualified under any of the Acts listed below? (Please
note that any declaration will be subject to the Rehabilitation of Offenders Act 1974).
(Tick, where applicable)
Yes
No
Animal Boarding Establishment Act, 1963
Breeding of Dogs Act, 1973
Pet Animal Act, 1951
The Dogs (Northern Ireland) Order 1983
Riding Establishments Act, 1964
Dangerous Wild Animals Act, 1976
Animal Welfare Act, 2006
Welfare of Animals Act (Northern Ireland) 2011
Animal Health & Welfare (Scotland) Act 2006
Protection of Animals (Amendment) Act, 1954
If you answer YES to any of the above, please give further details:
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
....................................................................................................................................................
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