Transfer of Ownership

To transfer ownership of a registered hound from the currently registered owner to another person, the new owner must complete this form.  A separate form is required for each hound being transferred. It is the new owner's responsibility to ensure that the completed form is sent to Game Licensing Service at GPO Box 4509, Melbourne VIC 3001.

1. Registered Owner:

Please write clearly and in BLOCK letters

2. Hound Details:

Please write clearly and in BLOCK letters

 
 
 

3. New Owner:

Please write clearly and in BLOCK letters

 
 

Declaration by New Owner:

I, (the above-named 'New Owner'), authorise the Game Management Authority to record my Personal Information (above) in accordance with the principles set out in the Victorian Information Privacy Act 2000 and to disclose this information to a centralised microchip registry, if necessary.  I understand and accept that only information necessary to enable the return of a missing hound or to assist with council pet registrations will be disclosed by the centralised microchip registry (except as required for law enforcement purposes).  To my knowledge, my hound is in good health and does not suffer from haemophilia or any other related blood clotting disorders.  To my knowledge, my hound does not already have a microchip implant other than the one described above (if any).

Signature of New Owner: ……………………………………………………… Date: …… / …… / …………