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 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

Do you hold a current Pensioner card? *

Upload Pensioner Concession Card *

Fees payable (Pensioner - unsterilised)

Fees payable (Pensioner - sterilised)

Fees payable (unsterilised)

Fees payable (sterilised)

Upload any other certificates/information

Registration tags must be worn by animals at all times when not on the property. Tags will be issued after registration has been processed. Please select; *

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. *

The information provided is true and correct. I am aware it is an offence to provide false information. * *

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Cat Registration online form

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