AUSTRALASIAN ANIMAL REGISTRY

Royal Agricultural Society of New South Wales ABN 69 793 644 351 trading as
AUSTRALASIAN ANIMAL REGISTRY
Locked Bag 4317, Sydney Olympic Park NSW 2127. Phone: (02) 9704 1450 Fax: (02) 9704 1006
Email: [email protected] Web: www.aar.org.au www.aar.org.nz
APPLICATION FOR REGISTRATION
By signing this application both the Implanter and the Owner accept the AAR terms and
conditions which have been issued to this clinic.
ATTACH MICROCHIP NUMBER BARCODE STICKER BELOW
IMPLANTER NUMBER OR NAME & BUSINESS ADDRESS
AAR
Date Of Implant (dd/mm/yyyy)
/
/
2
Implanters Signature
0
Tag Number
Identification Number of Any Other Permanent Identification Device Implanted in the Animal
First Name of Owner
Mr
Mrs
Miss
MS
Surname of Owner
Unit
Building Number
Street
Town
State
Post Code
Municipal District (Council) Where Animal is Kept
Postal Address (If different from residential address above)
Address Where Animal is Kept (If different from residential address above)
Day Phone
After Hours Phone
Mobile
Email Address
Name of Alternate Contact
Alternate Phone
Alternate Mobile
Animal's Name
Species
Breed
Date of Birth (dd/mm/yyyy)
Male
Neutered
Female
Spayed
/
Colour
Please Indicate if Your Animal Has Been Declared As:
Dangerous
Menacing
/
A Restricted Breed
I DO NOT give permission for my contact details to be made available
to any authorised person for the purpose of recovery of my animal.
I declare the details above are true & correct - Owner/Agent Signature
Telephone Support Password
Date (dd/mm/yyyy)
/
PLEASE PRINT IN BLOCK LETTERS
/ 2 0
53554
Please find following a microchip registration form for the Australasian Animal Registry
Would you kindly complete, sign and return to our office with cheque, money order or
credit card details for the amount of $AUD 9.00 per animal at your earliest
convenience.
If you have any further queries, please do not hesitate to contact our office.
IMPORTANT
PLEASE PRINT, COMPLETE AND SEND YOUR PAYMENT AND COMPLETED
REGISTRATION FORM(S) TO:
LOCKED BAG 4317 SYDNEY OLYMPIC PARK NSW 2127 AUSTRALIA
WE REQUIRE THE ORIGINAL SIGNED COPY OF THIS FORM(S) TO BE SENT.
FAXED COPIES WILL NOT BE ACCEPTED
PLEASE MAKE SURE YOUR PAYMENT IS SECURELY ATTACHED TO YOUR
REGISTRATION FORM.
Please find enclosed my cheque/money order in the amount of $________ OR
Please debit my credit card for the amount of $________
VISA
MASTERCARD
CARD NUMBER: _______________________________
EXPIRY DATE: ____/____
CARDHOLDERS NAME: _________________________
CARDHOLDERS SIGNATURE: ____________________
Please Note:
Credit Cards will
be
debited
in
favour of “RAS of
NSW cashiers” and
be debited before
action taken
Royal Agricultural Society of New South Wales ABN 69 793 644 351
(“RAS”)
trading as
AUSTRALASIAN ANIMAL REGISTRY (“AAR”)
TERMS AND CONDITIONS OF DATA ACCEPTANCE
The AAR maintains an Australasian wide database of animals implanted with an identification
microchip.
The Registry is maintained and operated by the Royal Agricultural Society of NSW and provides a 24
hour, 7 days a week information service. For more information visit our web site: www.aar.org.au or
www.aar.org.nz
Listed below are the terms and conditions of acceptance of information for registration on
the AAR data base.
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The RAS accepts no responsibility for the accuracy of any information provided by the
Implanting Veterinary Body (IVB’) to the RAS for the registration on the AAR data base.
Delivery of information is to be made to the offices of the AAR as nominated by the RAS from
time to time.
The RAS shall have the right to query any information provided by an IVB or an owner and
the IVB or owner shall make available to the RAS all confirmatory information as is required
by the RAS by way of assurance as to the correctness of any information.
The IVB warrants that information provided to the AAR is sent in a timely manner and is
accurate in detail.
Except where expressly agreed in writing, these general conditions for acceptance of
information shall override any terms and conditions requested by any IVB.
The RAS reserves the right to not accept any data, whether incomplete or otherwise, if its
operations are hindered or suspended as a result of fire, accident, strike, lockouts or any
other cause or causes beyond its control and no action shall be brought against the RAS
arising out of such hindrance or suspension.
The IVB or the owner (where applicable) indemnifies the RAS against loss or damage to the
RAS and any claims by any person against the RAS in respect to any loss or death of any
animal arising out of or as a consequence of information supplied by the IVB or by the owner
(where applicable) to the AAR.
The IVB or the owner (where applicable) releases the RAS from any claim arising out of any
loss or death to any animal arising out of or as a consequence of information supplied by the
IVB or the owner (where applicable) to the AAR.
Delivery of information for registration to the AAR constitutes acceptance of the terms and
conditions set out herein. No alterations to these terms and conditions shall be binding on the
RAS unless accepted by the RAS in writing and any terms and conditions contained herein are
in addition to any other rights the RAS may have at law.
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