registration-form

             Pet  Registration  form

Distric

Municipal Corporation/Council/NP

Phase/Sector/Mohalla/Area

Name Of the applicant

Father/Spouse Name

House No.

Ward No.

Permanent Address

Tick If Your Permanent and Residential address are same?

Residential Address in Municipality

Mobile Number

Email Address

Id/Address proof of owner(Front Page)

Id/Address proof of owner(Back Page)

Fitness Certificate

Category of Animal

Breed of Animal

Name of Animal

Gender of Animal

Date of Birth Of Animal

Colour of Animal

Identification Mark of Animal

Any defect in the animal?

Vaccination?

Has the animal been certified by the veterinary Doctor to be free from infectious diseases?(Front Page)

Has the animal been certified by the veterinary Doctor to be free from infectious diseases?(Back Page)

Animal Photograph

Photograph of the owner

I have read and agree to the privacy policy, term of service Show

1. I shall keep the dog protected by getting it vaccinated against rabies from a Govt. veterinary Practitioner or Veterinary practitioner duly registered with Indian Veterinary council( IVC) or state Veterinary council ( SVC)

2. I will furnish the vaccination certificate on demand during inspection by Registration Authority or any officer/ official of the Municipal Corporation duly authorized by the Registration Authority or within a period of 10 days from such inspection, falling which registration of the dog may be cancelled.

3. I will keep the dog chained/ leashed while taking it outside. All ferocious dogs shall be duly muzzled and a stick shall be carried by the escort accompanying the dog while taking it out.

4. I will ensure that the dog will wear a collar affixed with the metal token issued by the Registration Authority at all the times.

5. I will compensate the person if a dog bites or causes any other harm to any person or to the property of any person.

6. I shall keep the dog under my control all the times, so that it does not intimidate, annoy, hurt or bite any person. I shall not make Municipal Corporation responsible for any loss, damage or injury caused by a registered dog to any person or to his/her property and sole liability to compensate the victim will remain with me.

7. I shall not indulge in breeding of dogs for commercial purposes and trading of dogs within the area of Municipal Corporation. In case it is found that dog is being kept for breeding or trading /commercial purposes by me, the Registration Authority shall impound my dog/s besides imposing a fine as fixed by the Commissioner, Municipal Corporation, Mohali upon me.

8. I shall not allow the dog to defecate in public places such as residential areas, green belts, parks, streets, roads, road berms and other common places etc. In case the dog defecates at the above specified places, I shall arrange to get the excreta of the dog removed from the Said place at my own level. I shall take my dog to defecate in the isolated areas which are not visited by the residents and other members of the public. I shall not allow the dog to defecate near the residences of other, neighbors to their annoyance.

9. I shall ensure proper space, accommodation, food and medical treatment to the dog.

10. I shall allow the registration authority or a Veterinary, Health Supervisor, Chief Sanitary Inspector, Sanitary Inspector or any other officer of the Municipal Corporation authorized by the Registration Authority to inspect the premises of my dog and I shall allow that person to enter and inspect my premises at all reasonable times to ensure that no cruelty is being done to the animal (prevention of cruelty to Animals Act 1960).

Name

Address

Mobile Number