ASOCIAIA CHINOLOGIC ROMN

(membre de la Federation Cynologique Internationale)

Secretariat: Bd. Dinicu Golescu nr. 37/C/70, Bucureti 010867
Coresponden: C.P. 262 - O.P. 12, Bucureti 014750
Tel: +40 21 3143763. / Fax: +40 21 3161321
E-mail: office@ach.ro / Web: www.ach.ro

BULETIN DE INSCRIERE
BULLETIN DINSCRIPTION
MELDESCHEIN

V rugm s completai cu litere de

tipar sau maina de scris!
Please write in capitals!
Nur Schreibmaschinen oder
Blockshrift!

Expo: ______________________________________________________________
Clasa:
Class:
Klasse: ___________________________________________________________________________________
Rasa:
Sex:
Breed:
Sexe:
Rasse: __________________________________________ Geschlecht: ______________________________
Numele cinelui:
Dogs name:
Name des Hundes: _________________________________________________________________________
Cartea de origine:
Nr.:
Studbook abreviation:
No.:
Abkrzung des Stammbuches: _____________________ Nr.: _____________________________________
Nscut la data:
Date of birth:
Wurfdatum: _______________________________________________________________________________
Culoare i semne distinctive:
Colour:
Farbe und Abzeichen: ______________________________________________________________________
Pr/lung, scurt, aspru/:
Hair /long-, short, wire/
Haarart /lang-, kurz-, rauh-/: _________________________________________________________________
Numele tatlui:
Sire:
Vater des gemeldeten Hundes: ______________________________________________________________
Numele mamei:
Dam:
Mutter des gemelden Hundes: _______________________________________________________________
Cresctor:
Breeder:
Zchter: __________________________________________________________________________________
Proprietar:
Owner:
Eigentmer: _______________________________________________________________________________
Domiciliu:
Domicile:
Wohnort: __________________________________________________________________________________
Tel-Fax:
Phone-Fax: _______________________________________________________________________________
E-mail: __________________________________________________________________________________
V rugm s anexai copia certificatului de origine al cinelui nscris.Please enclosed the pedigrees copy.
Fiecare cine ncris este acceptat n expoziie numai pe baza carnetului de sntate cu vaccinrile la zi (vaccinarea antirabic
obligatorie)! Each dog participating must be effectively vaccinated against rabies (Please bring the vaccination certificate!).

__________________________________________ Loc / Place; Data / Date; Semntura/Signature