Application for Duplicate Passport

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THE STANDARDBRED & TROTTING HORSE ASSOCIATION OF GB & IRELAND (STAGBI) Application for Duplicate Passport NOTES & GUIDELINES Horse Passport Legislation 2009 requires that every equine has an Equine Passport (Identification Document) but it is an offence to apply for a duplicate passport for an equine unless the original is lost. When applying for a Duplicate Passport you are required to sign a declaration that the passport is lost. In accordance to Horse Passport Regulations the new duplicate passport issued will be stamped as duplicate and Section IX Part II will be stamped with declaration that the equine is not intended for human consumption. Should the original be subsequently found it must be returned to STAGBI immediately. A Duplicate Passport will only be issued to the registered owner of the named horse. You will need to complete the following forms: Application for Duplicate Passport (PART A) Equine Identification (PART B) to be completed by Veterinary Surgeon (see notes overleaf) Microchip & DNA Declaration (PART C) to be completed by Veterinary Surgeon (see notes overleaf) Please return the following to the STAGBI Office: The completed forms PARTS A, B & C Hair Sample for DNA analysis Appropriate Fees (Duplicate Passport Fee and Membership Fee if required). Cheques payable to STAGBI or payment can be made by BACS, details below. In the case of joint ownership, all owners must be current members of STAGBI). Fees listed overleaf. Issuing of a Duplicate Passports may be delayed if there are any queries or discrepancies within the application so please ensure that: All parts are fully completed and signed. In the case of more than one owner, details and signatures of all owners must be provided. You are the registered owner of the horse You have enclosed the appropriate fees all fees listed overleaf If you have any queries please contact STAGBI STAGBI, 3 Park Crescent, Llandrindod Wells, Powys LD1 6AB Tel No: 01597 822474 email: info@standardbred.org STAGBI BANK DETAILS Bank: HSBC Acc Name: The Standardbred & Trotting Horse Assoc (GBI) Sort Code: 40-08-53 Acc No: 91106252 Ref: Name of Horse

NOTES for VETERINARY SUREGON completing registration: DNA: Select 20-30 clean dry hairs with roots, taken from the mane or tail. MARK UP: Please adopt a procedure are described in the Weatherbys Identification Guidelines Booklet When completing the silhouette, where possible please mark at least 5 identifying features (e.g. whorls, white marks, scars). All white markings should be outlined in red with hatched diagonal lines. Whorls should be marked by an X. Microchip site indicated by circled M. The written description below the silhouette should be typed or written in BLOCK CAPITALS and should match the silhouette. Vet completing the Mark up is required to sign, date and stamp. Thank you STAGBI FEES from 1 April 2015 MEMBERSHIP Please note you are required to be a member of STAGBI to complete any transaction. Membership Fees are due 1 April Gold Membership 40 ( 60) for 5 yrs Annual Membership 10 ( 15) REGISTRATION Registration pack inc Microchip 10 ( 15) Foal Registration (Reg & DNA) by 31 st December of year of birth 45 ( 65) Late Registration after 31 st Dec of year of birth (and subject to Approval) Yearlings 120 ( 170) 2 year olds 240 ( 340) 3 years olds & older 350 ( 500) Registration of Horse transferred from EU that holds an existing European Passport within 30 days of import 50 ( 70) between 1 & 6 months of import 100 ( 140) after 6 months of import 150 ( 210) Registration of Imported Horse Non EU within 30 days of import 100 ( 140) between 1 & 6 months of import 200 ( 280) after 6 months of import 300 ( 420) Registration of Non SB by 31 st December of year of birth 22.50 ( 32) Late Registration of Part-Bred Standardbreds & Non-Standardbred after 31 st Dec of year of birth Yearlings 27.50 ( 40) + 22.50 ( 33) DNA fee if required 2 year olds & older 35 ( 48) + 22.50 ( 33) DNA fee if required Duplicate Passport 30 ( 45 Register Lease of Horse 30 ( 45) Transfer of Ownership 11 ( 15) Export Certificates 100 ( 140) Broodmare Dna Profile 25 ( 35) Stallion Licence 150 ( 210) Mating Certificates applied for within the year of covering 10 ( 15) per mare after the year of covering 50 ( 70) per mare

THE STANDARDBRED & TROTTING HORSE ASSOCIATION of GB & IRELAND (STAGBI) Name of Horse Application for Duplicate Passport PART A UELN / Registration No Microchip No AFFIDAVIT I, the registered owner certify that the Passport for the above named horse has been LOST* or DESTROYED* (* Delete as appropriate) and request that a duplicate passport be issued. Should the original passport become available in the future, I undertake to return it to STAGBI immediately. Please explain the reason for this application NAME of OWNER First Name Surname ADDRESS Post Code Tel Number E Mail Signature of Owner Date In the case of more than one owner, please provide details (name, address & tel number) and signature of each owner on a separate sheet of paper. The name on this sheet will be considered the lead owner and the first point of contact.

LEGS PART B PLACE AND DATE OF IDENTIFICATION SIGNATURE AND STAMP OF VETERINARY SURGEON OR COMPETENT AUTHORITY Place Name: Country Colour: Sire: Sex: MALE / FEMALE Dam: Date Mating Cert No: Not required Dam s Registration No: Not required Sire of Dam: HEAD NECK LF RF LH RH BODY OFFICIAL USE ONLY

MICROCHIP & DNA RETURN REGISTERED NAME OF HORSE (As printed on horse s passport) PART C Year of Birth Sex Colour Sire Dam MICROCHIP (delete as necessary) I the undersigned (Vet ONLY) declare that I have today implanted this horse named above with a STAGBI supplied microchip OR I the undersigned (VET or STAGBI Authorised Official) declare that I have today scanned a microchip previously implanted in this horse and is as follows PRINT MICROCHIP NUMBER or AFFIX MICROCHIP BAR CODE SCANNED Yes / No Please ensure Microchip No or Barcode is also recorded top left hand corner of Identification (PART B) DNA HAIR SAMPLE Select 20 to 30 clean dry hairs from mane or tail, complete with roots. Place hairs in sample bag/envelope provided. Seal the sample bag or envelope and ensure that it is identified with the: Name of the Horse / Microchip Number / UELN / Dated, Stamped & Signed by Vet or STAGBI Official I the undersigned (Vet ONLY or STAGBI Authorised Official) confirm that the hair sample enclosed with this declaration were taken today from the horse named above, and verified its identification by its microchip SIGNED:.. (Veterinary Surgeon) PRINT NAME:.... DATE:...... VETERINARY STAMP (Mandatory) NAME of OWNER First Name Surname ADDRESS Post Code Tel No