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Pet Application Form

The document is a pet registration application form from the Lucknow Municipal Corporation for Dr. MMalvikaa, who is registering two male Pomeranian dogs named Nandi and Shiva. The pets are less than one year old, with rabies vaccinations due on December 25, 2025. The applicant declares the information is true and agrees to comply with regulations set by the authorities.

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Maven Paradise
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5 views1 page

Pet Application Form

The document is a pet registration application form from the Lucknow Municipal Corporation for Dr. MMalvikaa, who is registering two male Pomeranian dogs named Nandi and Shiva. The pets are less than one year old, with rabies vaccinations due on December 25, 2025. The applicant declares the information is true and agrees to comply with regulations set by the authorities.

Uploaded by

Maven Paradise
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Lucknow Municipal Corporation

Pet Registration

Application Form

Registration Number: PET003544

Party Name: Dr. MMalvikaa Mobile Number: 9517575555

House Area: Greater then Or Equal To 200 sq meter Address: Celebrity Meadows

Number of Pet(s): 2 Pet Type: Dog

Pet(s) Details:

S.No. Pet(s)Name Age of Gender of Breed of Pet(s) Rabies Date Rabies Due
Pet(s) Pet(s) Date
1 Nandi Less than 1 Male Pomeranian 2024-12-25 2025-12-25
year
2 Shiva Less than 1 Male Pomeranian 2024-12-25 2025-12-25
year

* I hereby declare that the entries made by me in the Application Form are complete and true to the best of my knowledge,
belief and information.

* I hereby undertake to present the original documents for verification immediately upon demand by the concerned authorities

* If in any case, concerned authorities encountered any fault then they would take action against me and anytime like
cancellation of the license by the authorized authority.

* I hereby assure the Nagar Nigam that, I am not using my pet for any breeding purpose and will follow all the rules and
regulation issued by Nagar Nigam, Lucknow.

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