Cats – apply to breed cats or renew cat breeding licence

Applicant Details (must be over 18 years of age)
Cat Owners Name * Required
Title 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 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
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).
Site plan * Required
Site plan (to scale) detailing where cats will be kept on property showing proximity to all structures.
Enclosure detail * Required
Details of any enclosures (must comply with the minimum breeding and housing standards)
Membership of prescribed organisation (copy of current membership to be attached)
- COAWA
- FCCWA
- ANCATS
Organisation Membership Details * Required
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
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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
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GST Info
Hidden
Payment Type
Credit Card * Required

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiration Date
Security Code Cardholder Name
Name
This field is for validation purposes and should be left unchanged.

Cats – apply to breed cats or renew cat breeding licence

Applicant Details (must be over 18 years of age)

Alternative Contact (must be over 18 years of age)

Property Details where cat(s) will be kept

Details of cat(s) subject to this application

Attachments required

Previous Conviction

Payment Details

Related Online Services

Related Articles

Community Safety

Name	Breed	Colour	Age (Years)	Sex F/M	Microchip No

Cats – apply to breed cats or renew cat breeding licence

Applicant Details (must be over 18 years of age)

Alternative Contact (must be over 18 years of age)

Property Details where cat(s) will be kept

Details of cat(s) subject to this application

Attachments required

Previous Conviction

Payment Details

Related Online Services

Related Articles

Related Topics

Community Safety