Lisburn Online Forms - Registration of Guard Dog Kennels

Registration of Guard Dog Kennels

Dogs (Northern Ireland) Order 1983

APPLICATION FOR REGISTRATION OF GUARD DOG KENNELS

This registration form has a cost of £12.50

Section 1 : Applicant Details
Title:
First Name:
Last Name:
Street Number and Name:
City / Town:
Post Code:
Country:
E-mail address:
Main telephone number:	+
Other telephone number:	+
Premises at which dogs are kept (if the same as postal address please write as above)::
No of dogs kept on the premises at the time of application:
No of bitches kept on the premises at the time of application:
Date of expiry of licence (dd/mm/yyyy)::
Number of previous licence (if any):
By submitting this application the applicant confirms that he/she is not under 16 years of age, has not been disqualified from keeping a dog under The Welfare of Animals Act (Northern Ireland) 1972.
Subject to approval of registration an application for dog licences will be forwarded to applicant.

WARNING: An applicant for a dog licence or registration of guard dog kennels who knowingly and wilfully makes a statement in this form which is false in a material particular is liable to prosecution.

For further information please contact ehealth@lisburn.gov.uk +44 (0)28 9250 9394

Lisburn City Council, Environmental Health, Island Civic Centre, The Island, Lisburn BT27 4RL

Data Protection Act 1998

Lisburn City Council collects the data on this form for the purposes of the management and application of the Dogs (Northern Ireland) Order 1983. This data may also be passed to other relevant Government agencies.