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Application for Duplicate Registration Certificate or a ...

Application for Duplicate Registration Certificate or a Duplicate Application for permanent RegistrationThis form must be completed and signed by the Registrant(s)/Sole Signatory on record at UKC . applications submitted by anyone other than the Registrant(s)/Sole Signatory on record will not be 1: Current Owner at UKC InformationSTEP 2: Dog Information (Required)STEP 3: Seller Information (Optional)Transfer Information (Optional - only required if changing ownership)Registrant/Sole Signatory s NameUKC Registration NumberSire s UKC Registration NumberSire s UKC Registration NameDam s UKC Registration NumberDam s UKC Registration NameUKC Registration NameWhat is the reason you are applying for this Duplicate ?SignatureDate of BirthSexColorBreedAddressas recorded by UKC.

Application for Duplicate Registration Certificate or a Duplicate Application for Permanent Registration See reverse side of this form for Instructions on how to fill out the form. This form must be completed and signed by the Registrant(s)/Sole Signatory on record at UKC®.

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