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/ Cats – apply to breed cats or renew cat breeding licence
Cats – apply to breed cats or renew cat breeding licence
Applicant Details (must be over 18 years of age)
Cat Owners Name
*
Required
Title
Mr.
Mrs.
Miss
Ms.
Given Name(s)
Surname
Date of Birth
- must be dd/mm/yyyy format
*
Required
DD slash MM slash YYYY
Residential Address
*
Required
Mobile Phone
Other Phone
Email
*
Required
Alternative Contact (must be over 18 years of age)
Alternative Contact Name
*
Required
Title
Mr.
Mrs.
Miss
Ms.
Given Name(s)
Surname
Date of Birth
- must be dd/mm/yyyy format
*
Required
DD slash MM slash YYYY
Residential Address
*
Required
Mobile Phone
Other Phone
Email
Property Details where cat(s) will be kept
Will cat be kept at residential address as listed above?
*
Required
Yes
No
Address where cat will normally be kept
*
Required
Details of cat(s) subject to this application
Total number of breeding cats for this application
*
Required
Please record full details for each cat in table below
1
2
3
4
5
6
7
8
9
Cat Details
*
Required
Name
Breed
Colour
Age (Years)
Sex F/M
Microchip No
Attachments required
Breeding and management description
*
Required
Detailed description of breeding arrangements and management of breeding cats and kittens (please also cover disposal of waste, noise control and frequency of customer's attendances).
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Site plan
*
Required
Site plan (to scale) detailing where cats will be kept on property showing proximity to all structures.
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Enclosure detail
*
Required
Details of any enclosures (must comply with the minimum breeding and housing standards)
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Membership of prescribed organisation (copy of current membership to be attached)
COAWA
FCCWA
ANCATS
Organisation Membership Details
*
Required
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1
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Previous Conviction
Do you have any convictions for offences against this Act, Dog Act 1976 or Animal Welfare Act 2002 in the past 3 years?
*
Required
No
Yes
Conviction Detail
*
Required
Declaration
*
Required
I declare that all the information provided above is true and correct. I am aware that it is an offence to provide false or misleading information.
Yes
Payment Details
Hidden
payment_process_mode
NOTE: THE PAYMENT PROCESSING CONTROLS ON THIS FORM ARE CURRENTLY SET FOR TEST MODE
(Use either 5555444433331111 or 4444333322221111 for the Credit Card No. with 111 as the CCV)
Payment Type Code
Application Fee (GST N/A)
*
Required
Price:
$ 100.00
Total (GST N/A)
$ 0.00
Hidden
GST Info
Hidden
Payment Type
Credit Card
*
Required
MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number
Expiration Date
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
Security Code
Cardholder Name
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online-service
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info@joondalup.wa.gov.au