AQHA-UK REGISTRATION (Passport) APPLICATION Please tick the appropriate boxes Admin Use Fees paid: Registration No: MARE STALLION GELDING Section I - Pure Bred Section II - 50% + QH/TB Not USA Registered Section III - One parent must be full QH Appendix - QH / TB with AQHA Appendix Certificate Section V - Non Registered ID Passport Horses name Country Foaled AQHA Registration Number (if applicable) Brand or Mark Breeders Certificate: Owner or lessee at the time of covering: Address: PostCode: TelNo Registration No: Breed: I certify that I owned / leased the mare named above and bred her to the stallion names and the sire of the animal for which registration is requested. Stallion Owners Certificate: I hereby certify that a mare named Registration No: Was bred by natural / AI, fresh / chilled / frozen semen to my stallion named: RegistrationNo: Breed: On the dates:
COMPLETE ALL TEXT FIELDS IN BLOCK CAPITALS IN BLACK INK. OUTLINE TO BE COMPLETED AS PER FEI GUIDELINES. A: ANIMAL IDENTIFICATION TO BE COMPLETED BY A VETERINARY SURGEON (12) Right side Côté droit TRANSPONDER (14) Upper eye level Ligne supérieure des yeux (13) Left side Côté gauche Signature and stamp of the veterinarian or qualified person or competent authority (name in capital letters)/ Signature et cachet du vétérinaire ou de la personne qualifiée ou de l autorité compétence (nom en lettres capitales) (15) Fore Rear view Antérieurs Vue postérieure (18) Hind Rear view Postérieurs Vue postérieure Left Gauche Right Droit (16) Neck Lower view Encolure Vue inférieure (17) Muzzle Nez Left Gauche Right Droit Microchip number: Pursuant to Commission Regulation (EC) 262/2015 I can confirm that I read the microchip for the animal identified on this application and it was: PLEASE AFFIX BARCODE STICKER HERE Previously implanted Implanted today (tick one) It is a statutory requirement that a qualified veterinary surgeon and member of the Royal College of Veterinary Surgeons (RCVS) verifies the identification section above. The same veterinary surgeon is responsible for the completion of the written description which can be found in section E of this application. B: ANIMAL DETAILS Animal name: Colour: Sex: Date of birth: D D / M M / Y Y Y Y Country of birth: Place of birth: Species: D: CHESTNUTS FOR HORSES WITHOUT MARKINGS & LESS THAN THREE WHORLS C: SIRE AND DAM IF KNOWN Foreleg Left Foreleg Right Sire - ueln: Sire - name: Dam - ueln: Dam - name: Hindleg Left Hindleg Right FOR OFFICE USE ONLY Please continue onto the next page. v1.1 BHP-OPAF0116
COMPLETE IN BLOCK CAPITALS IN BLACK INK ANIMAL IDENTIFICATION (continued) Animal name: E: ANIMAL DESCRIPTION Head: Foreleg L: Foreleg R: Hindleg L: Hindleg R: Body: Markings: F: OFFICIAL SIGNATURE AND STAMP Signature of qualified person (name in capital letters): Stamp of issuing body or competent authority: Date of examination: D D / M M / Y Y Y Y v1.1 BHP-OPAF0116
IDENTIFICATION IMPORTANT POINTS TO NOTE FOR COMPLETING THE FORM The F.E.I booklet identification of Horses describes the correct procedure. The diagram and written description MUST agree and be in sufficient detail to ensure positive identification of the animal in future. White markings must be shown cross hatched in red biro and ALL boxes in the written description completed with black ink in CAPITALS or typed. Where there are no marking this must be noted as NO MARKINGS in the description. All head and neck whorls should be marked with an X and described in the written description. All other whorls in grey horses or where there are limited other distinguishing marks. Acquired marks distinguished with a V and prophets thumb print +. Chestnut & Sorrel horse with less that four distinguishing marks must undergo a leg mark up. EXTENDED PEDIGREE Sire: By: By: AQHA Reg No: Reg No: 0/0: Breed: 0/0: By: Colour: Reg No: 0/0: Dam: By: By: AQHA Reg No: Reg No: 0/0: Breed: 0/0: By: Colour: Reg No: 0/0: This section MUST be completed: - I confirm that this horse HAS / HAS NOT had a five panel genetic test including HYPP, MH. GBED, PSSM & HERDA. You must send a copy of the results with this application. It is recommended that all stallions and mares have these tests to support responsible breeding practices. Owners Certificate: Owner or leasee at the time of covering: Address: PostCode: Mobile Land: Registration No: Breed: I certify that I owned / leased the mare named above and bred her to the stallion names and the sire of the animal for which registration is requested. I confirm that the detailed supplied are true and accurate.
Tick in the relevant box Member Non Member Registration 0-6 months 40 80 Registration over 6 months 60 90 Registration ID Only 18 30 Duplicate / Replacement Passport 40 80 Over stamping 40 60 Normal 2nd Class Post 2 1st Class Recorded Delivery - 1 to 2 days signed for 4 Special Delivery - next day tracked and signed for 8 TOTAL HOW TO PAY Our preferred method of payment is by BACS as this is the most economical way of administering payments although we do accept PayPal and Cheques. We cannot take card payments. BACS BACS transfer details are: AQHA-UK, sort code - 20-49-08 Acc No. 00566209. In the reference box add MREG for current members and NMREG for non members. If you are paying from a business account please add the surname of the horse owner. ONLINE via the WEBSITE Go to the website https://www.aqha.uk.com/product-category/horse-registrations/ Select member or non member registration. You can pay with PayPal or payment card. If you wish to pay by card, school to the bottom of the PayPal screen and choose pay by card. OUR POSTAL ADDRESS IS: AQHA UK, Oakridge Arena, Swinderby Road, Collingham, Newark, Nottinghamshire, NG23 7NZ For and questions or queries contact info@aqha.uk.co.uk or 07544 262747 OR for more information check out the website PASSPORTS