| (Regulation 3) |
| FORM 1 |
| APPLICATION FOR ANIMAL RELOCATION PERMIT |
| Ministry of Agriculture, Fisheries and Forestry Veterinary and Livestock Division |
| Telephone Number: ............................... |
| Fax Number: .......................................... |
Chief Veterinary Officer Veterinary Division Ministry of Agriculture, Fisheries and Forestry, Castries | |
| Applicant: .................................................... |
| Address: ..................................................... |
| Telephone Number: ...................................... |
| Date: .......................................................... |
| Sir, |
| I have the honour to apply for an Animal Relocation Permit for the following animal/animals to be relocated from: ................................... to ............................... on the ............................... 20 .................. |
| Species to be Relocated |
| Species | Number | Registration Number |
| BOV | ........................ | ............................................ |
| OV | ........................ | ............................................ |
| CAP | ........................ | ............................................ |
| EQU | ........................ | ............................................ |
| CAN | ........................ | ............................................ |
| OTHER | ........................ | ............................................ |
| Remarks: ......................................................................................................... ........................................................................................................................ |
| ................................................................. |
| Applicant's Signature |