TNAWB

1. Name and address of the applicant (breeder)

2. Name and address of the establishment

3. Telephone number (Mobile/Landline with STD code) Enter 10-digit mobile number

4. Details of accommodation provided for dogs

5. Working hours and weekly off day

6. Arrangements for ventilation, illumination, temperature control, food storage, water, cleanliness and waste disposal

7. Details of dogs (and other animals if any) presently kept for breeding

#	Species	Breed	Male	Female	Total	Action
1

8. Name and address of Veterinary Doctor providing service

9. Whether ambulance/tractor available (Give details)

#	Type	Reg. No.	Driver Name	Driver Mobile	Action

10. Number of staff employed and their experience

11. Arrangement made for disposal of dead animals/caracasses

12. Particulars of dogs proposed to be used for breeding

13. Qualification and experience of the applicant in breeding/maintaining dogs

14. Details of fee remitted (₹5000 for Registration)

The prescribed fee shall be paid through Demand Draft (DD) drawn in favour of "Tamil Nadu Animal Welfare Board", payable at Chennai.
The Demand Draft must be sent through Tapal (Registered Post / Speed Post) to the Board’s official address.

DD/Cheque No.

Bank Name & Branch

DD/Cheque Date

Upload DD/Cheque Image / Payment Proof (JPG, PNG, PDF) Max size 2MB. Clear scan/photo of the Demand Draft or Cheque.

I hereby declare that the above particulars are true and correct to the best of my knowledge and belief.

Signature of Applicant