Apply for Dog Breeding licence (new or renewal)

Application for a licence to breed dogs
Please read the notes before completing this form

Please complete all the questions in the form.

If you have nothing to record, please state "Not applicable" or "None"
Fields marked with * are required
Are you an agent acting on behalf of the applicant*
1. Yes
2. No
Enter both applicant and agent details
Applicant Details
1. Page 1 of 11
2. Title*
3. First name*
4. Surname*
5. Address Line 1*
6. Address Line 2
7. Town*
8. Postcode*
9. Email address*
10. Telephone number*
11. Other telephone no.
12. Date of birth (DD/MM/YYYY)*
13. Applying as a business or organisation, including a sole trader?*
  
  Yes
  
  No
14. Applying as an individual?*
  
  Yes
  
  No
Agency Details
1. Title
2. First name
3. Surname
4. Address Line 1
5. Address Line 2
6. Town
7. Postcode
8. Email address
9. Telephone number
10. Other telephone no.

Session timeout