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Register Animal/Owner
This form can be used for registering your pets and also obtain the login id for ANIWORLDBASE.COM. If you have already registered an animal with us, you may please login to "Animal Owner Login" and use option available there to register additional animals.
Regisration fee is
USD 28.00
(a one time fee for registering your pet with ANIWORLDBASE.COM)
It is a simple 3 step process to register your pet with us.
Step1
: Fill this form and submit.
Step2
: Preview the submitted details and proceed to PAYPAL site for payment
Step3
:Make a successful transaction and receive notification about pet record activation.
Once you are regsitered you will recieve login credential to maintain your pet records. You can print your ANIMAL PASSPORT online from your login area.
Note:
All fields hilighted yellow are mandatory.
ANIMAL OWNER DETAILS
Name
:
Gender
:
Male
Female
Contact Address
:
P.O.Box
:
City
:
Phone1
:
Phone2
:
Mobile
:
Fax
:
E-Mail
:
Confirm E-Mail
Referred by
:
Please specify the name of the clinic or pet home who referred our site Referred
Login ID
:
ANIMAL DETAILS
Animal Name
:
Gender
:
Male
Female
Species
:
Select
Canine
Feline
Others
Breed
:
Breed Name
:
Date of Birth
:
( dd-MMM-yyyy )
Weight
:
KGS
Colour
:
Micro-Chip ID
:
Please don’t change case of alphabets ,if it is an alphanumeric ID
Date of Micro-chip-Injection
:
( dd-MMM-yyyy )
Place of Micro-chip Injection
:
Municipality Tag No
:
Municipality Tag Colour
:
Last Rabies Vaccination
:
( dd-MMM-yyyy )
Batch Number
:
Next Vaccination Due Date / Remarks
:
Description/Any Visual Mark/Coat
:
I
agree with
terms and condition
of this registration.
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