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New Application For Dog License

Fields marked with * are mandatory.
Fill in at least one of the fields marked with **.

Applicant Details

Name* Gender*
MaleFemale
New IC No.** Old IC No.**
Passport No.** Birth Date*
Race* Nationality*
Telephone No. Handphone No.*
Fax No. Email Address*
Passport Photo
(Make sure each of the file size is not more than 5MB. Only .JPG or PNG format is allowed. )

Correspondence Address

Correspondence Address 1*
Correspondence Address Postcode* Correspondence Country*
Correspondence State*
Correspondence City*
Status Premis * Jenis Premis *

Permanent Address

(Perhatian: Sila masukkan alamat anjing dipelihara)

Same as Correspondence Address?
Business Address 1*
Business Address Postcode Business Address Country*
Business Address State*
Business Address City*

Dog(s) Details

Dog(s) Details
Applications for more than two dogs require endorsement/approval from Vet Department. Please download the attached document and upload after getting approval.Download Document

Document Uploads (Make sure each of the file size is not more than 5MB.)

FULL SIZE PHOTO COLOUR (4R) OF THE OWNER WITH THE DOG
APPROVAL FROM UNIT VETERINAR, MBPP FOR TWO(2) DOGS AND ABOVE AT THE SAME ADDRESS
APPROVAL IS NEEDED FROM UNIT VETERINAR, MBPP FOR TYPE OF DOGS AS REGULATIONS
PHOTOCOPY OF AN I.C
UTILITY BILL'S REQUIRED AS A PROOF THAT THE APPLICANT'S LATEST HOME ADDRESS IS NOT AT THE APARTMENT/CONDOMINIUM/FLATS OR ANY STRATA RESIDENCE
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