KILKENNY COUNTY COUNCIL KILKENNY COUNTY COUNCIL COMHAIRE CHONTAE CILL CHAINNIGH Halla an

							                       KILKENNY COUNTY COUNCIL
                    COMHAIRE CHONTAE CILL CHAINNIGH




Halla an Chontae                                              Environment Section
Sraid Eoin                                                    County Hall
Cill Channigh                                                 John Street
Telefon : 056-7794470                                         Kilkenny
Fax: 056-7794004                                              Telephone: 056-7794470
                                                              Fax: 056-7794004
www.kilkennycoco.ie                                           www.kilkennycoco.ie


                      APPLICATION FOR HORSE LICENCE


NOTE: APPLICATION FEE IN THE SUM OF €30.00 MUST ACCOMPANY YOUR
     APPLICATION FORM TOGETHER WITH IDENTIFICATION
     DOCUMENT/PASSPORT FOR THE HORSE.

   1.    Details of Horse Owner:

         Name:______________________________________________________

         Address: ____________________________________________________

         Date of birth: ________________________________________________
         Section 20(5)(a) A local authority shall not grant a horse licence to any
         person who is under the age of 16 years.
         Proof of age required i.e. Birth Certificate must be presented.

   2.    Description of Horse:
         (a)

         Colour              Sex     Height            Breed          Age


         (b) Identification Document Serial No/Passport No:
             ____________________________

             If the horse does not have a Passport at present – Owner Declaration
             to be completed. Please see attached.

         (c) Approval Body
                            Wetherbys
                            Irish Horse Board
                                     Tick as appropriate
         (d) Permanent Identification Number ________________________
             (Encoded on the implanted micro-electronic device)
   3.     Name and Address of Keeper of the Horse:

          _________________________________________________________________

          _________________________________________________________________



   4.     Premises at which the horse is ordinarily kept. (See note 1. below)

          _________________________________________________________________


   5.     Name of the owner of the premises at which the horse is ordinarily kept:

          __________________________________________________________________



   6.     Have you ever been disqualified under Section 7 of the Control of Horses Act 1996
          from keeping a horse?
                                             Yes __________ No _________

          If yes, please give details ___________________________________________


   7.     (a)Signature of Applicant: _____________________________________________

          _________________________________________________________________

           (b)Signature of Witness_______________________________________________

   8.     Date of Application: _______________________________________________


   For office use only

   Licence No. _____________ Microchip No. ___________ Receipt No. __________

   N.B. A copy must be made of horse’s markings from Identification Document for the file.


Note 1:
    Lands where horses to be kept must be detailed
    Letter from land owner granting permission to use land must accompany
       application.
I, __________________________ the owner of the above described horse
declare that I will apply for a Passport as per S.I. No 399 of 2004) for the said
described horse within one month of this date.




Signed:

Date:
I, __________________________ the owner of the above described horse,
declare that I will provide to Kilkenny County Council details of any changes in
the lands (mentioned above) used for the purpose of keeping said horse.




Signed:

Date: