demand for breeders advice

Transcription

demand for breeders advice
DEMAND FOR BREEDERS ADVICE
1
To send to the FAC Secretary approx. 2 months
before the season of the bitch.
IERSE SETTER CLUB V.Z.W.-A.S.B.L.
Rasclub voor alle Ierse Setters
Club de race pour tous les Setters Irlandais
AANGESLOTEN K.K.U.S.H.AFFILIE U.R.C.S.H.
Nr. 1095
Johan Moons
Nijverheidspark 7
3580 Beringen
Tel 0032(0)11/42.39.86
GSM 0032(0)473/44.08.03
E-mail : [email protected]
Name :
………………………………………………………………………………
Address :
………………………………………………………………………………
………………………………………………………………………………
Tel. & Fax :
………………………………………………………………………………
E-mail :
………………………………………………………………………………
Ask for breed advice for my bitch :
Name:
………………………………………………………………………………
Date of birth:
…………………………………………………………………….............
What can I expect of my bitch ( character / appearance / heredity problems )
Positive :
..........................................................................................................
Negative :
………………………………………………………………………………
Presumed season period of my bitch :
………………………………………………………………………………
I was thinking about the following dogs ( motivation ).
1.
………………………………………………………………………………
2.
………………………………………………………………………………
3.
………………………………………………………………………………
ISC/FAC/2013/JM
2
Please add following copies:
Investigation
Pedigree
Copy
Already in
possesion of
the FAC
Sire
Dam
DNA- identification
Sire
Dam
DNA-tested CLAD
Sire
Free by inheritance : fill in F
DNA-tested LO PRA rcd4
Only for Red Irish Setters
Free by inheritance : fill in F
Carrier by inheritance: fill in C
Affected by inheritance: fill in A
Von Willebrand's disease
Only for Red/WhiteIrish Setters
Free by inheritance : fill in F
Carrier by inheritance: fill in C
Affected by inheritance: fill in A
Dam
HD
Sire
Sire
Dam
Sire
Dam
Dam
KMSH LOSH-breed certificat
Sire
Dam
Showresults (2 ex. or Champ. Titel)
Sire
Other investigations: specify
Dam
Sire
Other investigations: specify
Dam
Date:
Signature :
ISC/FAC/2013/JM

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