Animal Welfare, Ethics and Jurisprudence

Fourth Schedule

FOURTH SCHEDULE (SEE RULE 6)

Form of application for variation of particulars entered in register

Application to have the particulars entered in register with respect to the applicant varied.

To

The Prescribed Authority,

Full Name of applicant : ................................................................................. (in block letters)

Number and date of certificate of registration ...................................................

I return herewith my certificate of registration under the Performing Animals Rules, 1973, and I hereby apply to have the particulars entered in the Register with respect to be varied, as follows and for the reasons given below :

I also request that my existing certificate may be cancelled and a new certificate of registration may be issued to me.

Signature

.............................................

Address

……………………….

..............................

………………………

…….......................

Note: No fee is payable for the issue of a new certificate of registration.

Notified in Gazette of India, Part 11 Section 3, Sub-section (ii) , Vide Govt. of India, Ministry of Agriculture No. 35-4/72-LD I dated 22nd May 1973.