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( (:p/ cg F20 ( (4 H\ 20 ( (' o+ @ 0someone@microsoft.com2Web Site Form Response@Your information was receivedFORMDATA.HTM fhttp://example.microsoft.com/~user/ispscript.cgi@ 0someone@microsoft.com2Web Site Form Response@Your information was receivedFORMDATA.HTM fhttp://example.microsoft.com/~user/ispscript.cgid0 ( (' -F G(hThUhah_hh ^h *80 ( (' +,- pf M(   h"" Symbol" PSSymbol" Symbol" Symbol" Symbol"* Symbol4 ( ( ' h Y ` p$p O\ V\( pD p hI 40 ( (' - Mi X     M g g  F" p*p(  B "   & :  @[s%B "   & :  @[s%( >h   ((8  (( (( (( ( ( ( ( ( ( ( ( ( ( (( (( ((hz (( (( (( (( (( ((h ((h# (( ((hy (( ((h ((h1 (( (( ( ( (!( (%( (&( ('(Fh  (?($  @[s% |L0 ( (' \-F Ghth<  L0R0 ( (' ]-F Ghthuh ?' -F0 ( (' ^-F G h,  -20 ( ('  j& scanpic 2.tif20 ( (' y -D0 ( ( pppp40 ( (' - ~ -20 ( (' dT -v D  Po  Ξ @[s % 0e 0eh \r$Times New Roman    Hz@  x$PosterBodoni BT     H    hWingdings 3     H 20 ( (' _ js* *l F0 ( (' -F G hF  L-40 ( (' a-   F0 ( (' b-F G hF  L-F0 ( (' c-F G h> ~ b  L0 ( (' -F Ghh m @ 0someone@microsoft.com2Web Site Form Response@Your information was receivedFORMDATA.HTM fhttp://example.microsoft.com/~user/ispscript.cgi( 4X  |4   4X  |4   4X  |@     4X  |:    4X  |@     4X  |@     4X  |4     |4   4X  |@     4X  |@     4X  |@     4X  |@     4X  |@     4X  |4   4X  |@     4X  |@     4X  |@     4X  |@     4X  |@ 0someone@microsoft.com2Web Site Form Response@Your information was receivedFORMDATA.HTM fhttp://example.microsoft.com/~user/ispscript.cgiF0 ( (' -F G h| 35 ZW40 ( (' e- D= *l Hp4 O\ V\( pJ pK @ 0someone@microsoft.com2Web Site Form Response@Your information was receivedFORMDATA.HTM fhttp://example.microsoft.com/~user/ispscript.cgiF0 ( (' f-F G h@ \ WF0 ( (' g-F G hL W\ OF0 ( (' h-F G hM \ QL0 ( (' -F Ghhd m 20 ( (' A `20 ( (' A `40 ( (' - ki 0 ( (' *f g h ii 1kpCm I| I| 68 # QJ  U   i F& N N  O   N ? 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 bl 4 3 tg "@@`@@@Kg Vfg fg f g ?f@BK  ŕ   h<  4 5 # lg "`@@ @@@B@BK 9 ŕ   h0  4 6 # lg "`@@ @@@B@BK :  &  h2  4 7 # lg "`@@ @@@B@BK &  3  h3  4 8 # lg "`@@ @@@B@BK     - hF  4 9 # lg "`@@ @@@B@BK ۧ  3 ; h|  CHNKINK TEXTTEXTDSTSHSTSHF(STSHSTSHFZSTSHSTSHHFDPPFDPPJFDPPFDPPLFDPPFDPPNFDPPFDPPPFDPCFDPCRFDPCFDPCTFDPCFDPCVFDPCFDPCXFDPCFDPCZFDPCFDPC\FDPCFDPC^FDPCFDPC`FDPCFDPCbFDPC FDPCdFDPC FDPCfInsert Microchip Number Here NECK Encloure HEAD Tte SIRE OF DAM Par de et DATE OF BIRTH Date de naissance MALE / FEMALE SEX Sexe DAM Et SIRE Par NAME Nom PLACE AND DATE OF IDENTIFICATION Circonscription et date BODY Corps SIGNATURE AND STAMP OF VETERINARY SURGEON OR COMPETENT AUTHORITY Signature et cachet du vtrinaire agr (ou de l autorit comptente) RH Post D LH Post G RF Ant D LEGS STAGBI Lifetime ID Number 826056 _ _ _ _ _ _ _ _ _ STAGBI Microchip Number _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ STANDARDBRED & TROTTING HORSE ASSOCIATION OF GREAT BRITAIN & IRELAND New Horse Registration & Passport Application THE PROGENY OF UNREGISTERED MARES WILL NOT BE ACCEPTED FOR ENTRY INTO THE STANDARDBRED STUDBOOK A COVERING CERTIFICATE OBTAINABLE FROM THE SIRE S OWNER MUST BE SENT WITH THIS APPLICATION, THE SIRE MUST BE REGISTERED AS A STALLION WITH STAGBI. The owner must notify the Secretary of the death of any registered horse and return STAGBI documents for cancellation. Any person giving false information in this application is liable to disqualification. PASSPORT APPLICATION FEES: UK and IRELAND STANDARDBRED 20.00 * Late Fee 30.00 PART BRED AND NON-STANDARDBRED (Not eligible for Stud Book) 15.00 * Late fee 22.50 IMPORTED HORSES STALLIONS AND MARES 50 GELDINGS 100 + 10 Admin * LATE REGISTRATIONS a surcharge of 50% will be charged for late registrations i.e. after 31st Dec year of birth * Submit 2 Names for horse (BLOCK LETTERS). No name to be more than 18 Digits including spaces. 1st Choice 2nd Choice Registered Office: STAGBI Little Craig, Llandegley, Powys, Wales, UK. LD1 5UD Company No: 3535857 Tel or Fax 01597-850033 email to: stagbi@btinternet.com LF Ant G Breeders Name: Address: Post Code: Owners Name: (If different from above) Address: Post Code: Tel No It is an express condition of this application being accepted that the person making the same is bound by all Rules of STAGBI and be a current STAGBI member. I The undersigned, hereby make application to have the above Registration, and the description as endorsed on back hereof recorded by the Association as a full and true description of my colt / filly (delete as necessary) according to the best of my knowledge and belief, and agree to be bound by the Rules of STAGBI above mentioned. I declare that all information given in this application is true and correct in every detail Declaration: No other DEFRA Passport is in existence or been applied for in relation to the horse in this application Signature of owner/s: & & & & & & & & & & & & & & & & (Note the application must be signed by the absolute owner, where the horse is jointly owned all owners must sign) Mating Certificate No . .. . . . . . . . . . . . . . APPLICATION FOR MEMBERSHIP IN ORDER FOR YOUR APPLICATION TO BE PROCESSED ALL QUESTIONS MUST BE ANSWERED. SURNAME: ______________________ FORENAMES IN FULL: _______________________________________ TITLE: [Mr /Mrs /Miss / Ms / Rank ] Other: please specify: _____________________________________________ Date of Birth: ______________________ Sex: _____ Nationality: ________________________________________ Permanent Address: * ___________________ __________________________________________________________ ________________________________________________________________________________________________ Post Code: _________________________________ Telephone: __________________________________________ Fax: _______________________________________ e-mail: ____________________________________________ * A business or hotel address cannot be accepted unless you live there permanently. Profession, Business or Occupation: __________________ ________________________________________________ Category of member [please circle relevant organisation] BHRC IHRC MW UKSRA INDEPENDENT Name: _________________________________ Address: ______________________________________________ ______________________________________________________________________________________________ Declaration: I wish to become a member of the Standardbred and Trotting Horse Association of Great Britain and Ireland and agree to abide by the Rules and Constitution of the Association. I declare that I have no criminal conviction recorded against me during the last five year's and that I have never been convicted of cruelty or neglect towards animals. I have no disqualifications or disabilities imposed on me by any Standardbred or Turf Authority at this time. Signed:_____________________________________ Date:_________________ N.B. This form must be signed personally by the applicant. Making a declaration which is false or misleading is liable to invalidate membership. Please complete the above and return with fee Of * 5 or [ 7] one (1) years membership * Delete as required * 25 or [ 35] Six (6) years discounted membership Membership Secretary, STAGBI, Lower Lundy, Painscastle, Builth Wells, Powys. Wales, UK LD2 3JJ Registered Office: Little Craig, Llandegley, Powys, Wales, UK, LD1 5UD Tel or Fax 0044 (0)1597-850033 e-mail stagbi@btinternet.com Company Registered Number 3535857 THE STANDARDBRED AND TROTTING HORSE ASSOCIATION OF GREAT BRITAIN AND IRELAND STANDARDBRED & TROTTING HORSE ASSOCIATION OF GREAT BRITAIN & IRELAND Instructions & Notes to Owners and Competent persons STAGBI is the initials of: The Standardbred and Trotting Horse Association of Great Britain and Ireland, and as such may be used to denote the name of the organisation. (STAGBI is a"recognised Organisation" means an organisation recognised by the Secretary of State for Environment, Food and Rural Affairs under the Horses (Zootechnical Standards) Regulations 1992(a) or an international association or organisation registered under article 3; of The Horse Passports Order 2003) Owners: To Register a horse with STAGBI you must be a member of the association. If you are not a current member, but have been a member in the last year and your membership is due, please return your membership card and fees for renewal. If you have never been a member, or have let your membership lapse for two (2) years or more, please complete the membership application form overleaf. Membership Fees: One (1) Year 5.00 Pounds or 7.00 Euros Six (6) Years 25.00 Pounds or 35.00 Euros On the New Horse Registration & Passport Application Form. Please complete as follows: Enter Covering Certificate number. Submit two (2) names 1st & 2nd choice of no more that eighteen (18) digits including spaces Enter Breeders name and address Enter current owners name and address if different from breeder Sign the condition of this application and enter current STAGBI No or enter (Applied For) in the case of a new member Vet/s or STAGBI official. Enter Microchip Number [if applicable] (if microchip has been inserted in the equine to be identified) Enter mating certificate number and Dams registration number C) Complete drawing showing all identifying marks as follows: There should be at least 5 identifying features (e.g. Whorls, White Marks, Scars etc.) in addition to the horse s basic colour/s. All White Marks must be shown in red. All head and neck whorls should be marked ( X ) and described in detail. All other whorls should be similarly recorded, in greys and in animals lacking sufficient other distinguishing marks egg. Prophet s thumb mark ( p ). Wall eye, etc., should always be noted. Complete written ID in English, Whatever is drawn on the diagram must be described in words and vice versa. The description in words should be either printed in BLACK, BLOCK CAPITALS, or preferably, TYPED. Record approximate adult height Sign and Stamp or print name and address Record Date and place of Identification PLEASE ENSURE THAT THESE FORMS ARE KEPT CLEAN AND ALL WRITING IS CLEAR AND LEGIBLE AS THEY WILL BE USED (Dirty, smudged or unreadable forms will cause delays in STAGBI being able to process your registration & Passport and may result in them having to be repeated) TO COMPLETE YOUR PASSPORT. DO NOT FOLD MORE THAN ONCE, POST IN ADDRESSED ENVELOPE PROVIDED Finely: Please remember to enclose all completed forms & certificates and Payment of fees adding 1.00 to cover cost of post and package Thank you STAGBI Current STAGBI Membership No . . . . . . . . . . . . . . Insert Tattoo or Brand number Here APPROX ADULT HEIGHT Hauteur Adult Appreciative COLOUR Robe I.D. With DAM YES / NO OFFICIAL USE ENTER DAMS REG No and or ULID No ENTER MATING CERTIFICATE NUMBER p1TSHFq1TSH:D "$h ,9"D "0I "$r ,9"D "0Gq1TSH 08f "$T,9" "ficial. 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