Both pages must be printed or copied on A4 paper with a Good Quality PRINTER for Registration to be accepted. The Application for Registration needs to be submitted to the Society with payment of FEES and Proof of Service.

AUSTRALIAN STOCK HORSE NAME - Please list two names (including Prefix) in order of preference. Leave a blank box between words.

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2

Australian Stud Book Thoroughbred (tick box) Mares and Stallions ONLY – will be accepted for Breeding Purposes Only – NOT eligible to be shown in ASH events. AUSTRALIAN STUD BOOK NAME: ………………………………...……………………………… Australian Stock Horse – Foal Recorded Number: ………………………………………………

FOALING DATE SEX (Tick Circle) HEIGHT – Only if 4 years or over Mare Stallion Gelding – Date Gelded ....../....../...........

COLOUR – Please tick as many circles as relevant to describe the horse’s colour and consider what colour the horse will mature, as well as summer and winter coat variance. Colour of foals should not be determined until foal coat sheds (recommend after 4 mths). Horse colour may change or not become obvious until 4yo.

Solid or Base Colours (Dark skin): Black Brown Bay Chestnut Palomino Other Colours (same as parent): Grey Taffy Roan Pied (broken colours, known as pintos) Buckskin/Dun (Dark skin): Buckskin (Cream, Yellow, Golden or Burnt) Dun with Dun Factors (Dun, Red Dun orGrullo) White/Cream Dilute (Pink skin): Cremello Perlino Champagne Other Body Coat Characteristics: Flecking Spots (Coloured) Brindle Striping Other: ...............................................

BREEDING TYPE (Tick Circle) NATURAL SERVICE DNA Testing available ARTIFICIAL INSEMINATION DNA Testing compulsory EMBRYO TRANSFER DNA Testing compulsory DNA Testing Kit – submit registration with fees. A DNA kit with instructions will be forwarded to the owner.

PROOF OF SERVICE (Tick Circle) ASH Breeding Certificate – original or a copy, signed by the

person who owned the stallion at time of service. Registration with another Breed Society or Association -

attach a copy of the Registration Certificate or Online Stud Book printout. An additional payment for another breed’s Service Lodgement will apply.

INSPECTION REPORT – A Society Inspector appointed by the Board must inspect First Cross (mares and geldings), Special Merit (mares, geldings or stallions) and ASB Thoroughbreds (mares and stallions) after the horse has been branded. The options for inspection are as follows: LOCAL AREA INSPECTOR – An Inspectors’ list is available on the Society’s Website – Horses page, click Inspections. The horse must be inspected prior to lodging an application. Inspection fee is paid to Inspector. The Inspector must not have a pecuniary interest or conflict of interest with the owner or horse to be registered. VIDEO INSPECTION – Video Footage - procedures available on Society’s Website – Horses page, click Inspections.

Accept Reject INSPECTOR - M/Ship No: …………..………… Signature: ..…………………..….…………………….. An inspection pass does not constitute acceptance of any application, it will be considered in accordance with the Society Regulations. CURRENT OWNER – APPLICANT - The current owner must be a Financial Member of The Australian Stock Horse Society Limited.

Membership Name: .................................................................................................................. Membership Number: .....................................

Address: .....................................................................................................................................................................................................................

Telephone Number: AH ..................................................... BH ..................................................... FAX ..................................................... DECLARATION: I hereby make this Declaration conscientiously believing that all the details completed on this application are a true and correct record of the horse being registered.

SIGNATURE: DATE SIGNED:

Post To: Australian Stock Horse Society Limited, PO Box 288, SCONE NSW 2337 AUSTRALIA. Payment can be made by Cash, Cheque, Money Order, Mastercard or Visa – For security reasons, the Society recommends that Credit Card details NOT be emailed. Form: Jan 18

PAYMENT OF FEES Registration: $…....….. Transfer: $…..…..…. DNA: $…..…..…. GDT: $…..…..…. TOTAL: ......……….

CREDIT CARD Expiry: / Mastercard Visa Amount $ ....................... Cardholder’s Name and Signature .............................................

THE AUSTRALIAN STOCK HORSE SOCIETY LIMITED, PO Box 288, Scone, NSW 2337 Australia ABN: 35 001 440 437 T: 02 6545 1122 F: 02 6545 2165 E: info@ashs.com.au W: www.ashs.com.au FB: www.facebook.com/ASHS1971

SIGN HERE

.................................................................... Breed: .............. No: ..................

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

Breed: .............. No: ..................

.................................................................... Breed: .............. No: ..................

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

Breed: .............. No: ..................

APPLICATION FOR REGISTRATION

GREAT GRANDPARENTS

GRANDPARENTS

PARENTS Extra generations NOT required if Sire and Dam are ASH registered.

SIRE ........................................................... Breed: .............. No: ..................

DAM .......................................................... Breed: .............. No: ..................

Both pages must be printed or copied on A4 paper with a Good Quality PRINTER for Registration to be accepted. The Application for Registration needs to be submitted to the Society with payment of FEES and Proof of Service.

NAME OF HORSE BEING REGISTERED – 1st name preference

IDENTIFICATION OF HORSE DIAGRAM OF HORSE - The brands and all markings must be accurately illustrated on the diagram of the horse. Any indentations, scars or hair whorls must be indicated and labelled accordingly. HORSE MUST BE BRANDED.

USE BLACK PEN ONLY – THE DIAGRAM AND THE CONTENTS OF THE BOX WILL BE SCANNED ONTO THE CERTIFICATE OF REGISTRATION.

WHITE MARKINGS – shaded in, accurately defining the shape of the marking on forehead, near and off views.

BRANDS are compulsory (Freeze or Fire) – a Registered Stock Brand (or personalised stock brand), an Identification Number (top number) and a Foaling Season Year Number (bottom number).

If Microchipped, number:.................................................................... White Marking – defining shape and shaded in. Hair Whorl – o Scar – x Indentation –

HORSE MUST BE BRANDED – Stock Brand, Identification Number and Foaling Season Year NumberLABEL OBSCURE OR UNUSUAL MARKINGS WHERE NECESSARY

COLOUR PHOTOGRAPHS – RECOMMENDED (not compulsory) for ALL registration types. Photographs will become the property of The Australian Stock Horse Society Limited. They should include the front, near and off sides of the horse, showing as many visible markings as possible, including white markings, brands, scars, etc.

GENETIC DISORDER TESTING (OLWS, HYPP, HERDA, PSSM1, MH, GBED) TESTING REQUESTED All female and entire progeny born prior to 1st August 2020, being progeny of horses testing positive to a Genetic Disorder (carrier or affected), must be tested and the results will be NOTED on the horse’s registration and the Online Stud Book. All female and entire progeny born after 1st August 2020, being progeny of horses testing positive to a Genetic Disorder (carrier or affected), must be tested for Genetic Disorders and results must be NEGATIVE to be accepted for registration. Effective Immediately, ALL stallions/colts (any age) being Sire Registered will require Genetic Disorder testing. Any horse that returns a Positive Test as a carrier or affected for a Genetic Disorder will be REJECTED for Sire Registration.

TRANSFER APPLICATION (Transfer of horse being registered on this application) NOT REQUIRED - if the progeny is being registered by the membership that owned or leased the dam at time of foaling.

NOT REQUIRED - if the Member registering the progeny, purchased the progeny as a foal at foot (under 365 days old), with the dam.

REQUIRED - If the member registering the progeny is different to the membership that owned or leased the dam at time of foaling and a transfer fee will apply.

DAM OWNER AT TIME OF FOALING: Membership Name: ................................................................................................ M/Ship No: .................................... Address of Dam Owner: .....................................................................................................................................................

DATE HORSE CHANGED OWNERSHIP ______/________/___________ SIGNATURE OF DAM OWNER __________________________________ Date Signed _____/_____/_______

CURRENT OWNER OF HORSE BEING REGISTERED – APPLICANT: Membership Name: ................................................................................................ M/Ship No: .................................... Address of Current Owner: .................................................................................................................................................

SIGN HERE

Left - NEAR SIDE Forehead Right – OFF SIDE

Near Off Off Near Off Near Near Off

APPLICATION FOR REGISTRATION