buletin de inscriere 2016
TRANSCRIPT
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7/25/2019 Buletin de Inscriere 2016
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BULETIN DE INSCRIERE
BULLETIN DINSCRIPTION
Expo / Show: CACIB 09.07._______ CACIB 10.07._______ 2 x CACIB_______
Clasa:
Class:___________________________________________________________________________________
Rasa: Sex:
Breed: __________________________________________ Sexe: ________________________
__________
Numele cinelui:
Dogs name:______________________________________________________________________________
Cartea de origine: Nr.:
Studbook abreviation:_____________________ No.:____________________________________
Nascut la data:
Date of birth:______________________________________________________________________________
Culoare si semne distinctive:
Colour:___________________________________________________________________________________
Par/lung, scurt, aspru:
Hair /long, short, wire:______________________________________________________________________
Numele tatalui:
Sire:______________________________________________________________________________________
Numele mamei:
Dam:_____________________________________________________________________________________
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Crescator:
Breeder:__________________________________________________________________________________
Proprietar:
Owner:____________________________________________________________________________________
Domiciliu:
Domicile:__________________________________________________________________________________
Tel-Fax:
Phone-Fax: _______________________________________________________________________________
E-mail: ________________________________________________________________________
___________
Ultima zi de inscriere / The last day for register: 26.06.2016
Va rugam sa completati cu litere de tipar! Please write in capitals!
Va rugam sa anexati copia certificatului de origine al cinelui nscris. Please enclosed the pedigrees copy.
Fiecare cine ncris este acceptat n expozitie numai pe baza carnetului de sanatate cu vaccinarile la zi(vaccinarea antirabica obligatorie)! Each dog participating must be effectivelyvaccinated against rabies(Please bring the vaccination certificate!).
Plata se va face in contul: RO61BTRL03001205584833XX, Banca Transilvania Ploiesti, CIF 3431342 (Lei)
The bank account for the payment: Swift BTRL RO22PHA, IBAN: RO10BTRL03004205584833XX (Eur)
[email protected]; [email protected]; fax: 0344100129
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__________________________________________ Loc / Place; Data / Date; Semnatura/Signature
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