APPLICATION FOR PARTICIPATION AANSOEK OM LIDMAATSKAP / / / / / 2. VOORLETTERS:/INITIALS: / / / / / / (NAAM/NAME)
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1 1 S A MINIATUURPERD TELERSGENOOTSKAP S A MINIATURE HORSE BREEDERS SOCIETY POSBUS/BOX 9777/BLOEMFONTEIN/9300 TEL: /FAKS: / E-POS/ minhorse@studbook.co.za APPLICATION FOR PARTICIPATION AANSOEK OM LIDMAATSKAP EK/ONS,/I/WE, 1. TITEL: (meld PROF., DR., MNR., MEV., MEJ., ens.) TITLE: (indicate PROF., DR., MR., MRS., MISS., etc.) / / / / / 2. VOORLETTERS:/INITIALS: / / / / / / (NAAM/NAME) 3. VAN:/SURNAME: / 4. ID. NOMMER:/ID. NUMBER: / / / / / / / / / / / / / / 5. BTW NR.:/VAT NO.: _/ / / / / / / / / / / / / / / / / (Heg asseblief n afskrif van die BTW sertifikaat aan./please attach a copy of the VAT certificate.) 6. DEELNEMER NAAM: (indien die deelname nie geregistreer moet word as n individu of onder die aansoeker se van nie) PARTICIPANT NAME: (if not to be registered under the surname of the applicant or as an individual) / / / / / / ADRES VAN AANSOEKER:/ADDRESS OF APPLICANT: 7. / / / / / / / / / / / / / / / / / / / / 8. / / / / / / / / / / / / / / / / / / / / 9. / / / / / / / / / / / / / / / / / / / / 10. POSKODE: PROVINSIE: POSTAL CODE: / / / / / PROVINCE: DISTRIK: DISTRICT: STREEK: REGION: TEGNIESE ADVISEUR: TECHNICAL ADVISOR: TELEFOON NOMMER: TELEPHONE NUMBER: ( ) ( ) FAKS: SEL: FAX: ( )( ) CELL: 11. E-POS ADRES: 12. TAAL: (waarin korrespondensie verlang word): LANGUAGE: (in which correspondance is required) AFRIKAANS / / ENGELS/ENGLISH / /
2 2 13. DEELNAME WORD VERLANG VANAF D D M M C C Y Y PARTICIPATION REQUIRED AS FROM / / / / / / / / / / / 14. TIPE DEELNAME:/TYPE OF PARTICIPATION: / 1 / INDIVIDUELE DEELNEMER/INDIVIDUAL PARTICIPANT / 2 / VENNOOTSKAP/PARTNERSHIP:* Aantal vennote:/number of partners: / / / / 3 / MAATSKAPPY/COMPANY # / 4 / REGSPERSOONLIKHEIDSLIGGAAM/BODY CORPORATE #* / 5 / TRUST #* # Registrasie nr.:/registration no.: / / / / / / / / / / / / / / / / / / / / / 3 / Heg die volgende aan:/attatch the following: a) Heg die uittreksel aan uit die notule waar die betrokke besluit genotuleer is./ Please attach the extract of the minutes reflecting the decision. b) Volle name en adresse van alle aandeelhouers./full name and address of the shareholders. c) Skriftelike magtiging aan tekengeregtigdes./written approval of signatories. * Gemagtigde persoon/authorised person 15. Is u huidiglik of was u voorheen n lid van enige Telersgenootskap ten opsigte van dieselfde of enige ander ras? Were you formerly or are you currently a member of any Breeder s Society with regard to the same or any other breed? JA/YES / / NEE/NO / / Indien JA, dui die naam van die Genootskap hieronder aan, asook u deelnemernommer, indien beskikbaar: If YES, state the name of the Breeders Society below as well as your participant number, if available: RASGENOOTSKAP:/BREED SOCIETY: NOMMER:/NUMBER: KUDDEBESONDERHEDE / HERD PARTICULARS 16. PLAAS NAAM: FARM NAME: / / / / / / / / / / / / / / / / / / / / / / / / 17. DORP OF STAD NAASTE AAN U PLAAS: TOWN OR CITY NEAREST TO YOUR FARM: MELD DIE POSADRES WAARHEEN U KORRESPONDENSIE GESTUUR MOET WORD: POSTAL ADDRESS WHERE YOUR CORRESPONDENCE MUST BE SENT TO: 18. ADRESLYN 1/ADDRESS LINE 1 / / / / / / / / / / / / / / / / / / / / 19. ADRESLYN 2/ADDRESS LINE 2 / / / / / / / / / / / / / / / / / / / / 20. ADRESLYN 3/ADDRESS LINE 3 / / / / / / / / / / / / / / / / / / / / 21. POSKODE:/POSTAL CODE: / / / / /
3 3 TELEFOON NOMMER:/TELEPHONE NUMBER: ( )( ) FAKS:/FAX: ( )( ) SEL:/CELL: 22. E-POS ADRES:/ 23. GPS KOöRDINATE (indien beskikbaar): GPS CO-ORDINATES (if available): 24. MY KEUSE VIR KUDDEKENMERKE IS: Verstrek asb. ses (6) kombinasies in orde van voorkeur. MY CHOICE FOR HERD DESIGNATION MARKS ARE: Please supply six (6) combinations in order of preference. A) / / / / / B) / / / / / C) / / / / / D) / / / / / E) / / / / / F) / / / / / 25. SLEGS VIR STOETTELERS: MY/ONS KEUSE VIR KUDDENAAM(VOORVOEGSEL) IS: FOR STUD BREEDERS ONLY: MY/OUR CHOICE FOR A HERD NAME (PREFIX) IS: (Verstrek asb. ses (6) keuses in orde van voorkeur.) (Please supply six (6) combinations in order of preference.) (Name van dorpe en stede word nie toegelaat nie./names of towns and cities are not allowed.) VOORVOEGSEL/PREFIX A) / / / / / / / / / / / / / / / / / / / B) / / / / / / / / / / / / / / / / / / / C) / / / / / / / / / / / / / / / / / / / D) / / / / / / / / / / / / / / / / / / / E) / / / / / / / / / / / / / / / / / / / F) / / / / / / / / / / / / / / / / / / /
4 4 I AGREE TO OBSERVE AND BE BOUND BY THE CONSTITUTION AND THE RULES, REGULATIONS AND BYE-LAWS OF SA STUD BOOK AND THE S A MINIATURE HORSE BREEDERS SOCIETY / EK ONDERNEEM OM MY AAN DIE BEPALINGE IN DIE GRONDWET EN DIE REëLS, REGULASIES EN VERORDENINGE VAN SA STAMBOEK EN DIE S A MINIATUURPERD TELERSGENOOTSKAP TE ONDERWERP. ATTACHED FIND A LIST OF ALL STUD BOOK ANIMALS CURRENTLY IN MY POSSESSION / AANGEHEG VIND U N LYS VAN AL DIE STAMBOEK DIERE WAT EK TANS IN MY BESIT HET. A CHEQUE FOR THE AMOUNT OF R IN PAYMENT OF THE FOLLOWING IS ATTACHED / N TJEK VIR DIE BEDRAG VAN R TER BETALING VAN DIE VOLGENDE WORD HIERBY INGESLUIT: Stamboek fooie/studbook fees ( ) REGISTRATION OF PREFIX /VOORVOEGSEL REGISTRASIE - R VAT / TAX 14% R TOTAL / TOTAAL R STAMBOEK BANKBESONDERHEDE VIR DIREKTE INBETALING/STUDBOOK BANKING DETAILS FOR DIRECT PAYMENT: Standard Bank Tak Brandwag: A CHEQUE FOR THE AMOUNT OF R IN PAYMENT OF THE FOLLOWING IS ATTACHED / N TJEK VIR DIE BEDRAG VAN R TER BETALING VAN DIE VOLGENDE WORD HIERBY INGESLUIT: SA MINIATUURPERDTELERSGENOOTSKAPFOOIE / S A MINIATURE HORSE BREEDERS SOCIETY FEES ( ) Intreefooi/Entry fee R Ledegeld/Membership R R MINIATUURPERD BANKBESONDERHEDE/MINIATURE HORSE BANKING DETAILS Standard Bank Rek Nr: Brandwag tak: PAYMENTS MUST BE INCLUDED AND MADE OUT ON SEPARATE CHEQUE FOR BOTH ORGANISATION AND CHEQUES MUST BE ATTACHED OR WE WILL NOT BE ABLE TO PROCESS THE APPLICATION BETALINGS MOET GESKIED MET APARTE TJEKS VIR BOGENOEMDE INSTANSIES ANDERS SAL DIE AANSOEK OM LIDMAATSKAP NIE VERWERK WORD NIE. SIGNED AT THIS DAY ONDERTEKEN TE HIERDIE DAG VAN 20. SIGNATURE OF APPLICANT HANDTEKENING VAN APPLIKANT SIGNATURE OF SOCIETY HANDTEKENING VAN GENOOTSKAP
5 5 PADBESKRYWING VAN NAASTE DORP NA PLAAS WAAR DIERE AANGEHOU WORD OF GPS KOöRDINATE: ROAD DIRECTIONS TO FARM WHERE CATTLE ARE HELD OR GPS CO-ORDINATES: SKETS ASB N PADKAART OM U PLAAS TE BEREIK:/PLEASE DRAW A ROADMAP TO REACH YOUR FARM:
6 6 LYS VAN STAMBOEKDIERE VAN DIE RAS BY WELKE GENOOTSKAP U AANSLUIT LIST OF STUD ANIMALS OF THE BREED OF THE SOCIETY WHICH YOU ARE JOINING REGISTRASIENOMMER IDENTIFIKASIE GESLAG NAAM VAN DIER REGISTRATION NUMBER IDENTIFICATION SEX NAME OF ANIMAL
7 7 PARTNERSHIPS / VENNOOTSKAPPE In the event of a partnership one of these documents must be completed for EVERY partner in the partnership and these documents must accompany the application for membership / In geval van 'n vennootskap moet een van hierdie dokumente volledig voltooi word vir elke vennoot in die vennootskap en moet die dokumente die aansoek om lid-maatskap vergesel. I / EK, 1. INITIALS VOORLETTERS / / / / / / / 2. NAME AND SURNAME / NAAM EN VAN 3. TITLE (State PROF., DR., MR., MRS., MISS., etc.) TITEL (Meld PROF., DR., MNR., MEV., MEJ., ens.)/ / / / / / / / / 4. ADDRESS LINE 1 ADRESLYN 1 / / / / / / / / / / / / / / / / / / / / 5. ADDRESS LINE 2 ADRESLYN 2 / / / / / / / / / / / / / / / / / / / / 6. ADDRESS LINE 3 ADRESLYN 3 / / / / / / / / / / / / / / / / / / / / 7. POSTAL CODE TELEPHONE NUMBER CODE POSKODE / / / / / 8. ADDRESS E-POS ADRES : TELEFOON NOMMER KODE CEL SEL: THAT APPLIED FOR MEMBERSHIP UNDER THE MEMBERSHIP NAME: WAT AANSOEK GEDOEN HET OM LIDMAATSKAP ONDER DIE LIDMAATSKAP NAAM: DO HEREBY AGREE AND ARE BOUNDED TO BE HELD JOINTLY AND SEPARATELY RESPONSIBLE FOR PAYMENT OF ANY MONIES DUE AND PAYABLE TO THIS ASSOCIATION AS MAY BE PAYABLE FROM TIME TO TIME / ONDERNEEM EN IS GEBONDE OM GESAMENTLIK OF AFSONDERLIK VERANTWOORDELIK GEHOU TE WORD VIR BETALING VAN ENIGE GELDE WAT AAN HIERDIE GENOOTSKAP VAN TYD-TOT-TYD BETAALBAAR MAG WEES. "Gevolmagtigde verteenwoordiger van vennootskap soos bepaal op 'n vergadering van die vennote gehou op Authorised representative of partnership as determined at a meeting of partners held on Naam / Name:... Adres / Address: SIGNED AT THIS DAY OF ONDERTEKEN TE HIERDIE DAG VAN 20. SIGNATURE OF PARTNER HANDTEKENING VAN VENNOOT
8 8 FOR COMPLETION BY THE DIRECTORS/MEMBERS OF COMPANIES/CLOSE CORPORATIONS VIR VOLTOOIING DEUR DIE DIREKTEURE VAN MAATSKAPPYE/BESLOTE KORPORASIES I/We (full names and addresses please) Ek/Ons (volle name en adresse asseblief) in my/our capacity as Director of the Company/individual members of the close corporation, declare myself/ourselves prepared in our personal capacities to be held responsible for the payment of the outstanding debts of the Company/Close Corporation in my/ons hoedanigheid as Direkteure van die Maatskappy/individuele lede van die Beslote Korporasie, verklaar myself/onsself hiermee bereid om in ons persoonlike hoedanigheid verantwoordelik te wees vir die vereffening van die uitstaande skulde van die Maaatskappy/beslote Korporasie Voltooiing deur direkteure van Maatskappye/Beslote Korporasies. " Gevolmagtigde verteenwoordiger van maatskappy, private maatskappy of regspersoon soos bepaal op 'n vergadering van die direkteure / lede gehou op Authorised representative of company, private company or body corporate as determined at a meeting of directors / members held on Naam / Name:... Adres / Address: SIGNATURES/HANTEKENINGE SIGNATURES/HANTEKENINGE
9 SA MINIATUURPERDGENOOTSKAP SA MINIATURE HORSE BREEDERS SOCIETY FOOIESTRUKTUUR / FEE STRUCTURE 2014 / 2015 Intreefooi / Entry Fee R650 Ledegeld / Membership fee R Geboortekennisgewing / Birth notification R75.00 Registrasie per dier / Registration per animal R70.00 Per Kapita fooi / Per Capita fee (per perd / per horse) Fooie vir Basis diere en reunperde / Fee for Basic animals and geldings R70.00 R0.00 Oordrag / Transfer R70.00 Herinstelling / Re-Instatement R Keurdersfooi / Inspectors Fee R Keuring per perd / Inspection per horse R75.00 Reiskoste vir keurders / Travel Fee for inspectors R3.50per km 5 jaar keuring / 5 year inspection Gratis / Free Kansellasies / Cancellations R85.00 Laat geboortes / Late Birth notification 2 3 maande / months R maande / months R maande / months R jaar / year (DNS toetse / DNA Tests) R jaar / year (DNS toetse / DNA Tests) R jaar / year (DNS toetse / DNA Tests) R jaar en ouer / 4 years and older (DNS toetse / DNA Tests) R Oordrag van Nie-Lede / Transfers Non-members R
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