APPLICATION REQUIREMENTS
APPLICATION FOR REGISTRATION
OF A GREYHOUND AS A STUD SIRE
(For fee schedule please see www.thedogs.com.au)
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Greyhound must be DNA tested prior to
completing application
To be completed by a licensed Stud Manager
Vet fertility test.
Appropriate Fee (for fee schedule please see
www.thedogs.com.au )
NOTE: THIS FORM MUST BE COMPLETED BY THE PERSON WHO INTENDS TO BE THE STUD MANAGER OF THE
GREYHOUND.
If you are not the owner/s of the Greyhound you must complete a “Sire Authorisation” form. Sire Authorisation forms can
be found on www.thedogs.com.au
I ............................................................................................................ of the following address:
STREET ADDRESS: ...............................................................................................................................................................................
SUBURB: ............................................................................................. POST CODE: ............................................................
CONTACT PHONE NUMBER/s: ...........................................................................................................................................................
M
STUD MANAGER LICENCE NUMBER:
....................................... (If not currently licensed with GRNSW a separate
Stud Manager form must be completed and forwarded with this application www.thedogs.om.au)
Hereby apply to GRNSW to register the following greyhound as a Stud Sire:
GREYHOUND NAME: .............................................................................................................................................................................
EAR BRANDS: ......................................................................................
I declare that I am applying to be licensed by GRNSW to carry out one or more of the following service types listed
hereunder for the Greyhound:
METHOD OF SERVICE
(Mark as required)
Service by Natural Means
Service by Artificial Insemination using Fresh Semen
I declare that I agree to be bound by any applicable laws, regulations, by-laws and any Rules of Greyhound Racing and
Breeding in force from time to time.
I declare that I have read and understand the requirements imposed under the Rules of Greyhound Racing and Breeding.
FOR OFFICE
USE ONLY
Fertility Test:
DNA:
Date Issued:
PRIVACY DISCLOSURE: THE USE, COLLECTION AND DISCLOSURE OF YOUR PERSONAL INFORMATION
GRNSW respects your privacy. In relation to your application for Stud Dog registration, GRNSW collects personal
information from you in order to assess the application and, if approved, to manage and supervise the activities of the Stud
Dog and your activities as a participant in the Greyhound Racing Industry. To do that, GRNSW may disclose personal
information about yourself, the Stud Manager, the Stud Dog and/or the owner of the Stud Dog to other persons or other
organisations including law enforcement bodies, State Governments, other licensing authorities and racing authorities,
Clubs and controlling bodies (located within and outside of Australia).
You do not have to supply the information requested in this application or by GRNSW from time to time in processing this
application, but if the information (or any part of it) is not provided, your application may be rejected by GRNSW.
By completing and submitting the application and any supporting documentation, you hereby authorise GRNSW to collect,
use and disclose the information contained in this application and any supporting documentation and/or to disclose any
information about the Stud Manager, the Stud Dog and/or the owner of the Stud Dog for the purpose to the
persons/organisations described above and for the general purpose of promoting greyhound racing.
I declare that I have read and agree to be bound by the above Privacy Disclosure.
SIGN HERE: .........................................................................................
(Signature of Applicant/Stud Manager)
DATE: ...................................................................................................
(Date of signing this application)
SIGNATURE OF WITNESS: ................................................................
(Please note that any person witnessing this document must ensure that they were present at the time that your signature
was affixed to this application: it is an offence for any person to falsely witness a document)
NAME OF WITNESS: ..........................................................................