HORSE IDENTIFICATION

Transcription

HORSE IDENTIFICATION
HORSE IDENTIFICATION
Complete this form if you have an unidentified horse and would like us to search our records to try and establish its identity, or if you require official identification
for showing purposes.
The horse must have been parentage validated by the Australian Stud Book and foaled since 1985.
Please note if the horse was born in Australia from 2003 onwards it may have been microchipped. Contact your veterinarian for more information about
determining the microchip number.
If the horse’s parentage can be determined a Retired Racehorse Identification Card suitable for showing purposes will be issued. An official pedigree will also be
provided.
The fee to conduct a search of our records is $75.00. Please note no guarantee can be given that the horse will be successfully identified.
If possible, please include photos of the horse showing its brands and white markings. Any photos supplied will be returned once the search has been completed.
Processing time may take up to two weeks. If we are not able to identify the horse within this time we will contact you and advise if a more extensive search
is required.
Please use BLOCK letters and write clearly in black or blue pen.
Personal Details
Name
Address
Post Code
Daytime Phone Mobile
Email
Payment Method
Please tick your payment method.
Cheque
Money Order
VISA
MasterCard
If paying by credit card, please complete the following details.
Card Number
/
/
/
Expiry
Amount
/
$ 7 5
.
0 0
Name on Card
Cardholder’s Signature
Official Use Only
Horse Identified?
Payment Type
Yes
Completed By
No Horse Name or Dam and Year of Foaling:
Date Completed
File Number
Racing Australia | ACN 105 994 330 | Level 6, 51 Druitt Street Sydney NSW 2000 | t : +61 2 9551 7505 | f : +61 2 9551 7519 | e : [email protected] | w : www.racingaustralia.horse
Apr 2015
The information collected on this form will only be used in accordance with the Racing Australia Privacy Policy and Principal Racing Authority (PRA) state and territory Privacy Policies. For further information about
privacy and how your personal information is used, please visit each PRA’s website or www.racingaustralia.horse for the Racing Australia Privacy Policy.
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HORSE IDENTIFICATION
Horse Description
Please provide as much detail as possible.
Dam
RACING NAME
Suffix
Year of Foaling
Suffix
Colour
Age
Sire
Microchip Number
Near Side Brand
Sex
F = Female G = Gelding E = Entire
Off Side Brand
Please draw the horses white markings on the sketch below
HORSE AS VIEWED FROM
THE RIGHT (OFF) SIDE
HORSE AS VIEWED FROM
THE LEFT (NEAR) SIDE
REAR VIEW
REAR VIEW
L
E
F
T
R
I
G
H
T
FORE LEGS
L
E
F
T
R
I
G
H
T
HIND LEGS
Additional Information
Please provide details of any other distinguishing features e.g. scars.
Please provide any other information which may help to identify the horse e.g. name of previous owner or trainer.
Apr 2015
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