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Form preview Certificate for dogs cats fox... Certificate for dogs cats fox raccoon or skunk to be imported into Japan Note. This certificate consists of Form A and B or C or D. Form Approval No* A Last update 26 Nov 2004 The approval of import inspection is given to the importer from the Animal Quarantine Service by mail fax or other electronic means. Each document becomes eligible with an official stamp by the exporting country. Either type or write clearly in BLOCK letters in English. Where applicable check the relevant box. No correction fluid shall be used* The original entry shall be struck through and remain legible. The correction shall be written adjacent to the original and signed* A. Declaration by exporter I an exporter understand the conditions for the animal to be imported into Japan and declare that to the best of my knowledge and belief all the details to be filled in this form are true and correct that Exporter s address Tel / Fax Date year / month / day Signature A-1 Name and address of Consignee A-3 Exporting country A-4 Description of the animal Species 2 Pet name if applicable Breed 4 Sex Date of birth Colour coat type and other distinctive features e*g* marking tattoo 7 Microchip Number Date of implantation year / month / day ISO standard or another Type of reader Implantation site of animal 8 Use Personal or Commercial pet Other purposes OFFICIAL GOVERNMENT STAMP Date. Each document becomes eligible with an official stamp by the exporting country. Either type or write clearly in BLOCK letters in English. Where applicable check the relevant box. No correction fluid shall be used* The original entry shall be struck through and remain legible. Where applicable check the relevant box. No correction fluid shall be used* The original entry shall be struck through and remain legible. The correction shall be written adjacent to the original and signed* A. Declaration by exporter I an exporter understand the conditions for the animal to be imported into Japan and declare that to the best of my knowledge and belief all the details to be filled in this form are true and correct that Exporter s address Tel / Fax Date year / month / day Signature A-1 Name and address of Consignee A-3 Exporting country A-4 Description of the animal Species 2 Pet name if applicable Breed 4 Sex Date of birth Colour coat type and other distinctive features e*g* marking tattoo 7 Microchip Number Date of implantation year / month / day ISO standard or another Type of reader Implantation site of animal 8 Use Personal or Commercial pet Other purposes OFFICIAL GOVERNMENT STAMP Date. Each document becomes eligible with an official stamp by the exporting country. Either type or write clearly in BLOCK letters in English. Where applicable check the relevant box. No correction fluid shall be used* The original entry shall be struck through and remain legible. The correction shall be written adjacent to the original and signed* A. Declaration by exporter I an exporter understand the conditions for the animal to be imported into Japan and declare that to the best of my knowledge and belief all the details to be filled in this form are true and correct that Exporter s address Tel / Fax Date year / month / day Signature A-1 Name and address of Consignee A-3 Exporting country A-4 Description of the animal Species 2 Pet name if applicable Breed 4 Sex Date of birth Colour coat type and other distinctive features e*g* marking tattoo 7 Microchip Number Date of implantation year / month / day ISO standard or another Type of reader Implantation site of animal 8 Use Personal or Commercial pet Other purposes OFFICIAL GOVERNMENT STAMP Date.
Form preview Death certificate format in hi... Iz i la- 6 FORM NO. 6 e R q izek. k i k DEATH CERTIFICATE tUe vkSj e R q jftLV hdj. k vf/kfu e 1969 dh /kkjk 12 17 vkSj jktLFkku tUe vkSj e R q jftLV hdj. K fu e 2000 ds fu e 8 13 ds v/khu tkjh fd k x k Issued under Section 12/17 of the Registration of Births and Deaths Act 1969 and Rule 8/13 of the Rajasthan Registration of Births and Deaths Rules 2000 g izekf.kr fd k tkrk gS fd fuEu fyf kr lwpuk e R q ds ewy vfHkys k ls yh xbZ gS tks fd LFkkuh ks k LFkkuh fudk --------------------------------------------------------- rglhy k. M---------------------------------------------------------------------------- ftyk ---------------------------------------------------------------------------------------jkT -- la k jkT ks k --------------------------------------------------------------dk jftLVj gSA This is to certify that the following information has been taken from the original record of death which is the register for local area / local body. k fu e 2000 ds fu e 8 13 ds v/khu tkjh fd k x k Issued under Section 12/17 of the Registration of Births and Deaths Act 1969 and Rule 8/13 of the Rajasthan Registration of Births and Deaths Rules 2000 g izekf*kr fd k tkrk gS fd fuEu fyf kr lwpuk e R q ds ewy vfHkys k ls yh xbZ gS tks fd LFkkuh ks k LFkkuh fudk --------------------------------------------------------- rglhy k. M---------------------------------------------------------------------------- ftyk ---------------------------------------------------------------------------------------jkT -- la k jkT ks k --------------------------------------------------------------dk jftLVj gSA This is to certify that the following information has been taken from the original record of death which is the register for local area / local body. of tahsil / block. of District of state / Union territory uke Name. fyax Sex. e R q dh frfFk Date of Death. e R q LFkku Place of death. ekrk dk uke Name of mother. firk ifr dk uke Name of Father/Husband. e rd dk e R q ds le dk irk e rd dk LFkk h irk Address of the deceased at the time of death Permanent address of the deceased. jftLV hdj. k la-- Registration No. jftLV hdj. k dh rkjh k Date of Registration. fVIi. kh Remarks if any. tkjh djus dh rkjh k Date of issue. tkjh djus okys izkf/kdkjh ds gLrk kj Signature of the issuing authority tkjh djus okys izkf/kdkjh dk irk Address of the issuing authority eqgj Seal. M---------------------------------------------------------------------------- ftyk ---------------------------------------------------------------------------------------jkT -- la k jkT ks k --------------------------------------------------------------dk jftLVj gSA This is to certify that the following information has been taken from the original record of death which is the register for local area / local body. of tahsil / block. of District of state / Union territory uke Name. fyax Sex. e R q dh frfFk Date of Death. of tahsil / block. of District of state / Union territory uke Name. fyax Sex. e R q dh frfFk Date of Death. e R q LFkku Place of death. ekrk dk uke Name of mother. firk ifr dk uke Name of Father/Husband. e rd dk e R q ds le dk irk e rd dk LFkk h irk Address of the deceased at the time of death Permanent address of the deceased.

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