New Zealand Dairy Goat Breeders Association (Inc)

Application to Register or Record Only – FORM C

Breeders Name:______

Address: ______

Prefix:______

Breeder Code (Tattoo): ______See reverse for details of Service Certificate or Transfer

Selected Name / Date of Birth / Tattoo/ID / Sex / No at Birth / AI/ET / Horned/ Polled / Sire / Registration No / Dam / Registration No
Right / Left
Please circle conforms to Breed: Alpine / Toggenburg / Sable / Saanen / Nubian / None
Please circle conforms to Breed: Alpine / Toggenburg / Sable / Saanen / Nubian / None
Please circle conforms to Breed: Alpine / Toggenburg / Sable / Saanen / Nubian / None
Please circle conforms to Breed: Alpine / Toggenburg / Sable / Saanen / Nubian / None
Please circle conforms to Breed: Alpine / Toggenburg / Sable / Saanen / Nubian / None
Please circle conforms to Breed: Alpine / Toggenburg / Sable / Saanen / Nubian / None
Please circle conforms to Breed: Alpine / Toggenburg / Sable / Saanen / Nubian / None

I hereby declare that the above particulars are a true and correct record of my breeding. I also declare that these goats have no disqualifying faults set out in NZDGBA regulations.

Signature(s): ______

SERVICE CERTIFICATE

(to be completed when the breeder is not the owner or lessee of the buck at date of service)

I hereby certify that the doe named: ______Tattoos: RE ______LE ______

NATURAL MATING: was served by ______Reg No ______on / / (or was running with the buck from / / to / / .

Signature of Buck's Owner or Lessee: ______

OR

ARTIFICIAL INSEMINATION: was inseminated on / /

Donor Buck's name: ______Reg No______

Inseminator's Name: ______Signature:______

Semen supplied by: ______Batch No:______

I hereby certify that the doe named: ______Tattoos: RE ______LE ______

NATURAL MATING: was served by ______Reg No ______on / / (or was running with the buck from / / to / / .

Signature of Buck's Owner or Lessee: ______

OR

ARTIFICIAL INSEMINATION: was inseminated on / /

Donor Buck's name: ______Reg No______

Inseminator's Name: ______Signature:______

Semen supplied by: ______Batch No:______

TRANSFER

(to be completed if a goat is to be transferred at the same time as it is registered)

Goat Name:______Date of Transfer: ______

Transfer to: (Name)______(Initials)______

(Address)______

Goat Name:______Date of Transfer: ______

Transfer to: (Name)______(Initials)______

(Address)______

Goat Name:______Date of Transfer: ______

Transfer to: (Name)______(Initials)______

(Address)______

Goat Name:______Date of Transfer: ______

Transfer to: (Name)______(Initials)______

(Address)______

Goat Name:______Date of Transfer: ______

Transfer to: (Name)______(Initials)______

(Address)______