Performing animals application

Performing Animals (Regulation) Act 1925

Name

Please provide the name of trainer or exhibitor

Title
If other, please specify
First name(s) *
Surname *

Date of birth *	Date of birth Month Day Year

Stage name

Nationality

Address

Please provide the address of fixed place of residence in Great Britain or an address in Great Britain from which letters directed to the trainer or exhibitor will be forwarded.

To use the address function within this application, your address MUST be within the North Lincolnshire boundary. To check this is the case, please enter your Postcode in the box below and select 'find address'. If you live outside North Lincolnshire you can still apply using this form but you will need to complete your address in full.

Postcode *Please include a space between the first and second parts of your postcode e.g. DN16 1AB.


Prefix e.g. first floor flat
House number/name *
Street *
Town/village
County
Country

Contact details

Telephone number *
Mobile telephone number

Email address

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