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ALBERTA BRAND APPLICATION FORM

Client No. File No. For Office Use Only For Office Use Only Livestock Identification and Commerce Act ALBERTA BRAND APPLICATION form A-1 Version 2016-04 APPLICATION for a CATTLE BRAND or HORSE BRAND Please read the attached instructions before completing this BRAND APPLICATION form . Part A: Status of Applicant check the appropriate box(es) Individual If more than one individual, as Joint Owners or as Co-Owners Note: If an individual applicant is under 18 years of age, the APPLICATION must be signed by the minor's Guardian and the Guardian must complete the Guardian's Acknowledgement of Responsibility form . Please contact the BRAND Registrar for further Corporation Part B: Applicant Personal Information, Date and Signature FOR INDIVIDUAL APPLICANT(S): Note: The individual listed below as Applicant 1 will be the primary contact and will receive the BRAND Certificate and all correspondence from LIS.

Please read the attached instructions before completing this Brand Application Form.

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