New Cat Registration

New Cat 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.

Cat Owners Name*

Date of Birth*

Residential Address

Street Address:*

City:*

State:*

Post Code:*

Country:*

Postal Address

Street Address:

City:

State:

Post Code:

Country:

Home Number

Work Number

Mobile Number*

Pensioner Card Holder

YesNo

Pension Card

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

Email Address*

Can the local government use this email address to issue renewal notices and other information?*

YesNo

Alternative Contact Details

Name

Date of Birth

Residential Address

Street Address:

City:

State:

Post Code:

Country:

Postal Address

Street Address:

City:

State:

Post Code:

Country:

Home Number

Work Number

Mobile Number

Cat's Details

Declaration

Do you have any convictions for offences against the Cat Act 2011, Dog Act 1976 or Animal Welfare Act 2002 in the past 3 years?*

YesNo

I declare the following:

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*

I, the owner identified in this application, agree with the above declaration.

Validate and Submit Form

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Navigation

Introduction

Owners Details

Alternative Contact Details

Cat's Details

Declaration

Validate and Submit Form

Administration Centre

Dardanup Office

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