| (Section 18) |
| Permit to Slaughter |
| Full name of owner of Animal to be Slaughtered |
| Address |
| Occupation |
| Particulars of Animal to be Slaughtered: |
| Type |
| Sex |
| Age |
| Colour |
| Brand or Mark |
| Position of Brand or Mark on Body |
| Any other Characteristics |
| Address of place where Animal is |
| kept prior to date of Slaughter |
| Date of Slaughter for which Application made |
| Place of Intended Slaughter |
| ......................................................... |
| Signature of Owner. |
| I, |
| (name and style of officer granting permission) |
of .......................................................................... hereby give permission to slaughter at |
| (person to whom given and address) |
| on the day of 20.......... |
| Dated this day of 20 . |
| ..................................................... |
| Style of Officer. |