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PCCI Dog Listing Application Form

The document is a listing application form for the Philippine Canine Club, Inc. It requests information such as the dog's name, sex, date of birth, color, microchip number, sire and dam names and registration numbers, breeder name, owner name and contact information. It notes that colored pictures of the dog must be attached. The form is to be submitted to the Philippine Canine Club located in Quezon City, Philippines.

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0% found this document useful (0 votes)
274 views1 page

PCCI Dog Listing Application Form

The document is a listing application form for the Philippine Canine Club, Inc. It requests information such as the dog's name, sex, date of birth, color, microchip number, sire and dam names and registration numbers, breeder name, owner name and contact information. It notes that colored pictures of the dog must be attached. The form is to be submitted to the Philippine Canine Club located in Quezon City, Philippines.

Uploaded by

geewai2009
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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PHILIPPINE CANINE CLUB, INC.

Rm. 206 Hillcrest Condominium


1616 E. Rodriguez, Sr. Avenue corner Hillcrest Street
Cubao, Quezon City, Philippines
Tel: +63 (2) 7218345 / Fax: +63 (2) 7217152
Email: info@pcci.org.ph
Website: www.pcci.org.ph

LISTING APPLICATION FORM


Date: ____________________________ Breed: __________________________

Name of Dog: __________________________________________________________

Sex: _________________________ Date of Birth: __________________________

Color & Markings: _______________________________________________________

Microchip No: __________________________________________________________

Sire Name: ____________________________________________________________

Sire Reg. No: __________________________________________________________

Dam Name: ____________________________________________________________

Dam Reg. No: __________________________________________________________

Breeder: ______________________________________________________________

Name of Owner(s): ______________________________________________________

PCCI Membership No: ___________________________________________________

Address: ______________________________________________________________

______________________________________________________________

Tel No: __________________________ Email: ___________________________

OR Number: _____________________ OR Date: _______________________

Note: Attached colored pictures of the dog (front & side view).

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