Cat Registration online form

Owners First Name *

Owners surname *

Street address *

Suburb *

Postcode *

Owners Date of Birth *

Owners contact number *

Owners email address *

Alternative Contact Name

Residential address

Contact Number

Email address

Cat's name *

Primary address for the cat *

Primary Colour *

Secondary Colour

Breed *

Age or Date of Birth *

Microchip Number *

Please upload proof of Microchip number *

Gender *

Is the cat sterilised? *

Please provide proof of sterilisation *

If no, please provide exemption and authorising Vet details

Number of cats on property

Is the custodian a member of a prescribed exempt organisation? *

If exempt, provide evidence

Are you an approved breeder? *

If approved breeder, provide evidence

Do you have any convictions for offences against the Cat Act 2011, Dog Act 1976 or Animal Welfare Act 2002 in the past 3 years? *

If yes, provide details

I am not, or the Owner is not, under eighteen years of age. The Town of Claremont may refuse an application if any or all of the required information is not provided within the time period required. *

Fees payable

Upload any other certificates/information

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Cat Registration online form

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