Part I DETAILS OF APPLICANT

Address of Guard Dog Kennels

(If different from above)

Number of dogs kept on the premises at time of application:

Dogs: Bitches:

Date of Expiry of previous licence (if any):

By clicking "I agree & Submit" you accept the following statement:" I declare that the information given above is correct in every respect, that I am not under 16 years of age, that I have not been disqualified from keeping a dog under the Welfare of Animals Act (Northern Ireland) 1972.

I apply for the registration of the above premises as a Guard Dog Kennels.

I have read the Guard Dog Kennels Requirements document"