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BSJA JERSEY 2012 APPLICATION FOR HORSE AND PONY

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					                      BSJA JERSEY 2012 APPLICATION FOR HORSE/PONY REGISTRATION

Annual Registration Fees:             Horse … £20              Pony … £20

   ANNUAL REGISTRATIONS MUST BE RECEIVED BY THE REGISTRATIONS SECRETARY AT LEAST THREE DAYS
                    PRIOR TO AN EVENT. INCOMPLETE FORMS WILL BE RETURNED.

                 Sections A & C to be completed by re-registrations, sections A, B & C by new registrations

SECTION A
NAME OF HORSE OR PONY

IF YOU HAVE RE-NAMED THIS HORSE/PONY,
PLEASE GIVE PREVIOUS NAME
NAME OF OWNER (WHO MUST BE A BSJA
JERSEY MEMBER)
ADDRESS OF OWNER


EMAIL                                   HOME TEL                                     MOBILE

BSJA JERSEY                                        PASSPORT NUMBER (ALL
COMPETITION                                        NEW REGISTRATIONS
NUMBER                                             MUST INCLUDE A COPY)
BSJA UK REGISTRATION                               MICROCHIP NUMBER
NUMBER
JMB HEIGHT CERTIFICATE NUMBER (IF PONY WINNINGS
EXCEED 16 POINTS, OR £50+ ACTUAL). PLEASE
ATTACH A COPY OF THE CERTIFICATE.
IF THIS IS A REGISTRATION RENEWAL, DID YOUR HORSE/PONY COMPETE OUTSIDE JERSEY IN 2011? YES/NO
IF YES, PLEASE PROVIDE DETAILS OF ANY WINNINGS ON A SEPARATE SHEET.


SECTION B
COLOUR                                                   SEX                                  HEIGHT

YEAR FOALED                                                      FREEZEMARK/BRAND

WINNINGS     UK                                JERSEY                      GUERNSEY                       OTHER
             ACTUAL/NOTIONAL

MARKINGS (IN THE EVENT OF NO MARKINGS INSERT “NIL”
HEAD                                               BODY
LEGS NEAR FORE                                     OFF FORE
        NEAR HIND                                  OFF HIND
NAME, ADDRESS & TEL NUMBER OF
PREVIOUS OWNER
(THIS INFORMATION MUST BE PROVIDED)

SECTION C
TO THE BEST OF MY KNOWLEDGE THE ABOVE INFORMATION IS CORRECT


SIGNED……………………………………………………………………………………………DATE……………………………………
….


                    This application form, with a cheque payable to BSJA Jersey, should be sent to:
               MRS K LE CORNU, BSJA JERSEY REGISTRATIONS SECRETARY, LA GABOURELLERIE,
                            RUE DE LA GABOURELLERIE, ST OUEN, JERSEY JE3 2BQ

				
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