Additional Information Sheet

 

To be filled by recommending Member/Sponsorer

 

 

Name of Member, AWBI/State Animal Welfare Board/

Sponsoring Organisation (if no member represents

the state/nominated by the member, AWBI)

Recog. Code No. (in block letters) :

 

 

 

How long you know the applicant?

 

 

Whether the applicant is genuinely interested

in animal welfare activities?

 

 

 

The information furnished by the applicant is true to my knowledge and I recommend issue of HAWO Card to him/her.

 

Address :                                                                                        Signature of Board Member or

                                                                                                 Hony. Secretary or President of AWO

                                                                                                          authorised by the member

                                                                                                                         with seal

 

 

 

Date :

 

Declaration by the Applicant

I am aware that I will be liable for prosecution in the event of any misuse of the
ID Card.

 

Signature of applicant

                                                                                                              

Date :

 

Note :     (i)   Candidate’s age should be between 21-80 years.

              (ii)   Minimum Educational Qualification should be : Matriculation, preferably Graduation.

 

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