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for Authorised Identifiers and am aware that I must comply with them. 4. Signature of authorised identifier Postcode 23. Postal address Animal details Postcode 5. Species: dog cat 6. Gender: male female I verify that the information provided on this form is correct. 24. Signature of person nominated at questions 15 to 17 25. Date 7#. Animal’s name / 8. Breed 9. Animal’s date of birth / 10. / Approximate year of birth OR Colour 11. Identifying marks / features / You sho.

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