PORTION TO BE RETAINED

       Name of Animal

…………………………….

           Date of Birth

…………………………….

               Ear Tag

…………………………….

                   Sire

…………………………….

                   Dam

……………………………..

DATE……………………..

Form F1 VAT NO 264 060676

	
 Name of Animal ………………………..………………………Colour ……….
    
 Date of Birth ………………………  Ear TagUK_ _ _ _ _ _ /_ _ _ _ _ _

Sire Name …………………………………………………………………………

Sire Ear Tag/Mark …………………………..…  Pedigree No (if allocated)  M  _ _ _ _

Dam Name ………………………………………………………………………..

Dam Ear Tag/Mark ……………………………….…….Pedigree No …………………
                                                             
I the undersigned, hereby declare that all particulars and pedigrees are to the best 
Of my knowledge and belief correct, and that the animal is eartagged as stated.

Owner ……………………………………………………………………………………..
   
Address ……………………………………………………………………….…………..

 Telephone No ………………………………………….………Date …………………....

Bred by (if different from above) ………………………………………………………….
If got by AI YES/NO  Please enclose Insemination Certificate                                                   
£15.00 (exc vat) Heifers under 3 mths £30.00 (exc vat) Heifers over 3 mths and under 6 mths
£50.00 (exc vat) Heifers over 6 mths    Please enclose payment with Schedules. Invoice will be issued with certificates.  VAT AT  20%