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Annex

Declaration: Exporter declaration for domestic dogs from New Zealand

Effective 1 March 2023

I ……………………………..…………………………….. (name of exporter) hereby declare the following:

  1. Identification of dog:

    Breed ……………………………..…..…...

    Sex ……………………………..………….

    Age ……………………………..………....

    ID (microchip) ……………………………..

  2. Since birth, direct import from Australia or for 180 days immediately preceding export to Australia, the dog has been continually resident in New Zealand.
  3. The dog is not a pure–bred dogo Argentino, fila Brasileiro, Japanese Tosa, Pit Bull Terrier, American Pit Bull, Perro de Presa Canario or Presa Canario.
  4. The dog is not derived from a cross with non-domestic species, such as a wolf.

    …………………………….. (exporter signature)

    …………………………….. (date)