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Dog's Registration Form

This document is a dog registration form from the Barangay Lamao in Bucloc, Abra. It collects information about a dog such as name, breed, color, weight, rabies vaccine details. The owner signs to acknowledge understanding the ordinance and responsibilities to follow rules, with fines listed for violations.

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hearty sianen
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415 views1 page

Dog's Registration Form

This document is a dog registration form from the Barangay Lamao in Bucloc, Abra. It collects information about a dog such as name, breed, color, weight, rabies vaccine details. The owner signs to acknowledge understanding the ordinance and responsibilities to follow rules, with fines listed for violations.

Uploaded by

hearty sianen
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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OWNER’SCOPY

Republic of the Philippines


Cordillera Administrative Region
Province of Abra
Municipality of Bucloc
Barangay Lamao

FOR OWNERS ONLY, WHO RESIDES IN LAMAO, BUCLOC, ABRA


DOG REGISTRATION FORM
NAME OF DOG:___________________________
BREED: ___________________________
COLOR: ___________________________
WEIGHT: ___________ HEIGHT: _________
RABBIES VACCINE: __________________________ ________________________
Date Last Gives Where

 PICTURE OF DOG WILL ATTACHED AT THE BACK OF THIS FORM


I AM AWARE OF THE ORDINANCE MADE BY THE BARANGAY COUNCIL AND UNDERSTAND MY
RESPONSIBILITY TO CONFORM TO THOSE RULES.
I also acknowledge that my failure and the failure of anyone having pet, to follow those rules may result in fines of ₽500.00 for
FIRST OFFENSE, ₽ 1,000.00 for SECOND OFFENSE, ₽ 1,500.00 for THIRD OFFENSE and ASSASSINATION FOR FOURTH
OFFENSE.

________________________________________ _________________________
OWNER’S SIGNATURE OVER PRINTED NAME DATE

SOLOMON M. DOMEL-AC JR. __________________________


PUNONG BARANGAY DATE

BARANGAY’S COPY
Republic of the Philippines
Cordillera Administrative Region
Province of Abra
Municipality of Bucloc
Barangay Lamao

FOR OWNERS ONLY, WHO RESIDES IN LAMAO, BUCLOC, ABRA


DOG REGISTRATION FORM
NAME OF DOG:___________________________
BREED: ___________________________
COLOR: ___________________________
WEIGHT: ___________ HEIGHT: _________
RABBIES VACCINE: __________________________ ________________________
Date Last Gives Where

 PICTURE OF DOG WILL ATTACHED AT THE BACK OF THIS FORM


I AM AWARE OF THE ORDINANCE MADE BY THE BARANGAY COUNCIL AND UNDERSTAND MY RESPONSIBILITY TO
CONFORM TO THOSE RULES.
I also acknowledge that my failure and the failure of anyone having pet, to follow those rules may result in fines of ₽500.00 for
FIRST OFFENSE, ₽ 1,000.00 for SECOND OFFENSE, ₽ 1,500.00 for THIRD OFFENSE and ASSASSINATION FOR FOURTH
OFFENSE.

________________________________________ _________________________
OWNER’S SIGNATURE OVER PRINTED NAME DATE

SOLOMON M. DOMEL-AC JR. __________________________


PUNONG BARANGAY DATE

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