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Form preview Apprentice falconers annual pr... PRINT SAVE State of California Department of Fish and Wildlife CLEAR EMAIL APPRENTICE FALCONER S ANNUAL PROGRESS REPORT DFW 360c REV. Mail this report with your Falconry License Renewal Application and fees to the California Department of Fish and Wildlife License and Revenue Branch 1740 N. Market Blvd Sacramento CA 95834 by June 30 2017. Contact the License and Revenue Branch at 916 928-5849 or spu wildlife. ca.gov if you need additional information regarding falconry licenses. APPRENTICE FIRST NAME M. I. LAST NAME GO ID NUMBER From ALDS Issued License MAILING ADDRESS DAY TELEPHONE CITY STATE ZIP CODE LIST ALL RAPTORS YOU POSSESSED JULY 1 2016 THROUGH JUNE 30 2017. Time and class will be verified by the CDFW I hereby certify that I am either a licensed master falconer or a licensed general falconer who has at least two years experience at the general level. I certify that the above information is true and correct. APPRENTICE S SIGNATURE X DATE SPONSOR MUST BE A CURRENTLY LICENSED GENERAL OR MASTER FALCONER SPONSOR S FIRST NAME SUMMARIZE THE APPRENTICE S FALCONRY ACTIVITIES AND PROGRESS AS A FALCONER. INCLUDE APPROXIMATE NUMBER OF HOURS AND/OR DAYS SPENT WITH YOUR APPRENTICE. Attach additional paper if necessary CHECK HERE IF YOU FEEL YOUR APPRENTICE SHOULD BE UPGRADED. 03/04/16 FOR JULY 1 2016 THROUGH JUNE 30 2017 INSTRUCTIONS It is mandatory to complete all items on both sides of this report. Attach additional paper if necessary SPECIES OF RAPTOR 1 BAND NUMBER SEX DATE ACQUIRED MALE FEMALE UNK HOW ACQUIRED Transfer-Provide licensee name and license number or method of capture DATE OF DISPOSITION CURRENT DISPOSITION Died lost still possess return to licensee or location and method of release etc. TOTAL MONTHS POSSESSED SUMMARIZE YOUR FALCONRY ACTIVITIES DURING THE YEAR INCLUDE INFORMATION ON MAINTAINGING TRAINING FLYING AND HUNTING WITH THE RAPTOR FOR AT LEAST FOUR MONTHS IN THE REGULARTORY YEAR AND HOW OFTEN EACH WAS FLOWN. Attach additional paper if necessary I certify that the above information is true and correct. An incomplete report will be returned* Both the apprentice and sponsor must complete the appropriate section and then sign and date the report.
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