Name of animal: All animals must have a prefix or suffix Please print Clearly …………………………………………………………………………………………………………………………….. Sex: ……….……… Colour: ………………………………………………………………………………………... Coat at time of registration: Circle applicable: Foal / summer / winter Compulsory identification Brand: (Near Side) …………..…… (Off Side) …….…….…… or Microchip number: ……………………………..…… Location: ……………………………..…….............. Brands, Markings: Note anything that will aid in identification. If available, include numbers and original registration certificates of parents if they are not already registered in this registry to enable the Registrar to fill in the full pedigree. Unless otherwise noted, all donkeys are assumed to have a cross and stripe. Note absence of these if applicable. Note star, leg stripes etc. Include photos (one full side view of each side, right and left). ANIMALS SHOWING EXTREME DISPROPORTIONAL CHARACTERISTICS MUST BE REVIEWED ON AN INDIVIDUAL BASIS. ………………………………………………………………….………………………….…………………………........ Date of birth: ……/……/20… Height: ………………………… at Age: …………… If over 3 years, official D&M Soc. height certificate MUST be supplied Place of birth: …………………………………………………………………………………………… Sire: Prefix/Suffix and full name: ………………………………………………………………………… Reg # ……………..…… Height: …….……………… Dam: Prefix/Suffix and full name: ………………………………………………………………………… Reg # ……………..…… Height: ………….………… Print name and address of breeder: Breeder is the owner of the dam at the time of foaling. Breeders are responsible for making sure the jack owner signs the breeding certificate. ………………………………………………………………………………………………………………………….… …………………………………………………………………………………………………………………………..… Phone: …………………………...… Fax:……………………….….. Email: ……………………………...………… Print name and address of owner: …………………………………………………………………………………. …………………………………………………………………………………………………………………………..… Phone: …………………………...… Fax:……………………….….. Email: ……………………………...……….… Signature: ………………………………………………………………… Please circle one only: Mail to BREEDER Mail to OWNER If the BREEDER wishes to Register and Transfer an animal to the new owner at the SAME TIME the breeder should list themselves as breeder and new owner in the owner area. No additional transfer form required, but registration fee and transfer fee required. If the BREEDER wishes to be listed as rst owner and THEN to transfer to a new owner, the additional transfer fee will be needed, along with a transfer form. Application for Registration in the New Zealand Miniature Donkey Registry PTO