Online Form - New Dog Registration

New Dog Registration form for residents of the Shire of Dardanup.

Introduction

Navigate through the different form sections using the navigation on the left, or use the next/previous buttons located at the bottom of each step.

Owners Details

Owner of the Registered Dog's details. Applicant must be over the age of 18 to register a dog.

Residential Address
Postal Address
Pensioner Card Holder
Max File Size: 10.00 MB
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Can the local government use this email address to issue renewal notices and other information?*

Alternative Contact Details

Residential Address
Postal Address

Dog's Details

Is the dog going to be kept at a different address to where the dog is normally kept (if different from owners address)*
Will the dog(s) be effectively confined in or at the premises identified in this application?*
Sterilised
Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx
Is the dog a Pit Bull Terrier, an American Pit Bull Terrier or a mix of one or both of these breeds?*
Is the dog kept, or to be kept as a commercial security, assistance or droving dog?*
Has the dog been declared as a dangerous dog?*
Is the dog kept for the purposes of the Crown?
Are you transferring your registration from another Local Government?
How long would you like to register your dog for?*

Declaration

Do you have any convictions for offences against the Dog Act 1976, Cat Act 2011 or Animal Welfare Act 2002 in the past 3 years?*
Are you currently banned, or have you ever been banned, from owning or keeping a dog under the Dog Act 1976 section 46A(2) either permanently or for a period specified in the order?*

I, the owner identified in this application declare the following:

  • The Local Government may refuse an application if any or all of the required information is not provided within the time period specified in the legislation.
  • That the information I have provided is true and correct.
  • I am over the age of 18 years of age.
  • I am aware that it is an offence to provide false and misleading information.
Declaration by Owner*

Validate and Submit Form

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