Do you keep and maintain a register of 3.11 animals ? How do you propose to minimise 3.12 disturbance from noise 4 Veterinary surgeon 4.1 Name of usual veterinary surgeon 4.2 Company name 4.3 Address 4.4 Telephone number 4.5 Email address 5 Emergency Key Holder 5.1 Do you have an emergency Key holder If no go to 7.1 ? 5.2 Name 5.3 Position/ job title 5.4 Address 5.5 Daytime telephone number 5.6 Evening/ other telephone number 5.7 Email address 5.8 Add another Person If no go to 7.1 6.1 Emergency Key Holder 2 6.2 Name 6.2 Position/ job title 6.3 Address 6.4 Daytime telephone number 6.5 Evening/ other telephone number 6.6 Email address 7.1 Disqualifications and convictions Has the applicant, or any person who will have control or management of the establishment, ever been disqualified from: 7.1 Keeping a pet shop? Yes No 7.2 Keeping a dog? Yes No 7.3 Keeping an animal boarding establishment? Yes No 7.4 Keeping a riding establishment? Yes No 7.5 Having custody of animals? Yes No Has the applicant, or any person who will have control or management of the Yes No 7.6 establishment, been convicted of any offences under the Animal Welfare Act 2006? Has the applicant, or any person who will have control or 7.7 management of the establishment, ever had a Yes No licence refused, revoked or cancelled? If yes to any of these questions 7.8 Please provide details, 8 Additional details Please check local guidance notes and conditions for any additional information which may be required Additional information which is 8.1 required or may be relevant to the application
3.11 Do you keep and maintain a register of animals ? 3.12 How do you propose to minimise disturbance from noise 4 Veterinary surgeon 4.1 Name of usual veterinary surgeon 4.2 Company name 4.3 Address 4.4 Telephone number 4.5 Email address 5 Emergency Key Holder 5.1 Do you have an emergency Key holder ? If no go to 7.1 5.2 Name 5.3 Position/ job title 5.4 Address 5.5 Daytime telephone number 5.6 Evening/ other telephone number 5.7 Email address 5.8 Add another Person If no go to 7.1 6.1 Emergency Key Holder 2 6.2 Name 6.2 Position/ job title 6.3 Address 6.4 Daytime telephone number 6.5 Evening/ other telephone number 6.6 Email address 7.1 Disqualifications and convictions Has the applicant, or any person who will have control or management of the establishment, ever been disqualified from: 7.1 Keeping a pet shop? Yes No 7.2 Keeping a dog? Yes No 7.3 Keeping an animal boarding establishment? Yes No 7.4 Keeping a riding establishment? Yes No 7.5 Having custody of animals? Yes No 7.6 Has the applicant, or any person who will have control or management of the establishment, been convicted of any offences under the Animal Welfare Act 2006? Yes No 7.7 Has the applicant, or any person who will have control or management of the establishment, ever had a licence refused, revoked or cancelled? Yes No 7.8 If yes to any of these questions Please provide details, 8 Additional details Please check local guidance notes and conditions for any additional information which may be required 8.1 Additional information which is required or may be relevant to the application
HBC%20dog%20Breeding%20Oct2018.docx