WELFARE OF ANIMALS ACT (NORTHERN IRELAND) 2011

WELFARE OF ANIMALS ACT (NORTHERN IRELAND) 1972 (AS AMENDED)

Application for Licence to keep a Zoo Establishment

1 / Full Name of Applicant
(State Mr/Mrs/Miss/Ms)
Are you 18 years of age or over
(Please circle as appropriate) / Yes / No
2 / Private Address
(or if a Body corporate, name of body and address of Registered Office)
Telephone Number
3 / Address of Zoo Establishment
(if different from 2)
4 / Is the Establishment operative throughout the year? If not state period when normally operative
5 / Name and address of person having direct control or management of the establishment if different from 1 above
Is this person 18 years of age or over
(please circle as appropriate) / Yes / No
6 / Is the person named at 5, above, the holder of any professional certificate or qualifications? If YES please give details.
7 / If the person named at 5, above, does not hold any professional certificates or qualifications give his / her experience in the management of animals.(continue on separate sheet if necessary).
8 / Is a responsible person living on the Establishment? If not what are the arrangements in the case of an emergency?
9 / The applicant is required to answer ‘YES’ or ‘NO’ to the following questions:-
Are you or any other person who will have control or management of the Establishment disqualified for the time being from:-
(a) / Keeping a riding Establishment? / YES / NO
(b) / Keeping a pet shop? / YES / NO
(c) / Having the custody of animals? / YES / NO
(d) / Keeping a boarding Establishment for animals? / YES / NO
10 / Has the applicant or person in charge ever been convicted of any offence in respect of cruelty to animals? If so give details.
11 / What is the name and address of your usual veterinary surgeon / practitioner?
12 / What species and number of animals are intended to be kept in the Establishment?(continue on a separate sheet if necessary)

I enclose the annual licence fee of £75.00 and the certificate referred to at item 6 above (if applicable).

I/We do hereby certify that to the best of my/our knowledge the above particulars are true.

Date ______Usual Signature ______

If signing on behalf of a Body Corporate,

state position held. ______

Provisions of the Welfare of Animals Act (Northern Ireland) 1972 and the Welfare of Animals Act (Northern Ireland) 2011 cover the application of a Zoo Establishment and the welfare of animals therein. This legislation may be accessed online. For any further guidance on the relevant legislation please contact your local DAERA Direct Office.

When complete, please return this form to your local DAERA Direct Office.

Note

All parts of the premises to be used for the purpose of Zoo Establishment activities must be identified to the Inspecting Veterinary Officer.

DAERA PRIVACY NOTICE (FORMERLY FAIR PROCESSING NOTICE)

The Department takes data protection, freedom of information and environmental information issues seriously. It takes care to ensure that any personal information supplied to it is dealt with in a way which complies with the requirements of the Data Protection Act 1998. This means that any personal information you supply will be processed principally for the purpose for which it has been provided. However, the Department is under a duty to protect the public funds it administers, and to this end may use the information you have provided for this purpose. It may also share this information with other bodies responsible for the audit or administration of public funds, in order to prevent and detect fraud.

In addition, the Department may also use it for other legitimate purposes in line with the Data Protection Act 1998, Freedom of Information Act 2000 and Environmental Information Regulations 2004.

These include:

  • Administration of the Common Agricultural Policy and other aid schemes;
  • Administration of the Common Fisheries Policy;
  • The production and safety of food;
  • Management of land and other environmental controls;
  • Animal health and welfare;
  • Occupational health and welfare;
  • The prevention and detection of fraud or maladministration (E.g. The Comptroller & Auditor General and HM Revenue & Customs.)
  • Compilation of statistics;
  • Disclosure to other organisations when required to do so; and
  • Disclosure under the Freedom of Information Act 2000 or the Environmental Information Regulations 2004 where such disclosure is in the public interest.

V3 – 09/05/2016 - NS