DNA KIT ORDER FORM — EBKC – European Bully Kennel Club

Please note the following prior to placing your order:
1. Currently , This is for an ISAG Genetic Test Profile Only.
Health tests shall be available to order shortly.
2. Upon order confirmation, the EBKC will send you a DNA Swab Sample Kit with instructions.
3. For Transaperency and Credibility, the EBKC will only accept DNA Swab Samples taken in the presence of any of the following persons acting as a witness:

A. An EBKC Judge
B. An EBKC Country Representative
C. An EBKC Affiliate Breeder
D. A Licensed Veterinarian (Certificate must be provided to the EBKC)

Samples will be refused if they shall not be taken in the presence of one.

DNA Profile Test + EBKC DNA Swab Kit Order

Owner Information
Owner's Name & Surname*
Name Surname
Owner's Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Owner's Phone*
Owner's Email*
Owner's Proof of Identification (Valid Passport or National I.D. Card)*
Drop files here or

Accepted file types: jpeg, jpg, gif, png, pdf, Max. file size: 2 MB, Max. files: 2.
The provided scans/photos must be clear and visible otherwise this will cause a delay the processing of your registration. Do not exceed the maximum file size of 1mb. Front and back of document (jpeg, jpg, gif, png, pdf files only).
Is the Dog to be registered in Co-ownership with someone else?*
- YES
- NO
Co-Owner Information
Co-Owner's Name*
First Last
Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Co-Owner's Phone*
Co-Owner's E-mail*
Owner's Proof of Identification (Valid Passport or National I.D. Card)*
Drop files here or

Accepted file types: jpeg, jpg, gif, png, pdf, Max. file size: 2 MB.
The provided scans/photos must be clear and visible otherwise this will cause a delay the processing of your registration. Do not exceed the maximum file size of 1mb. Front and back of document (jpeg, jpg, gif, png, pdf files only).
Are both owner's signatures required if this dog is sold or when registering a litter produced by this dog ?*
- Yes
- No
Dog Information
Name of Dog*
EBKC Registration No.*
Breed
Sex*
- Male
- Female
Colour & Markings*
Microchip No.*
Date of Birth*
DD slash MM slash YYYY
Country of Birth
Colour & Markings*
Front View Picture of Dog*
Accepted file types: jpeg, jpg, gif, png, pdf, Max. file size: 1 MB.
jpeg, jpg, gif, png, pdf
Important – EBKC DNA Testing Policy*
I agree to the EBKC DNA Testing Policy
I here by agree that prior to ordering this Test and Swab Kit, I understand that the Swab Sample must be taken by an EBKC Judge, Representative, or Affiliate acting as a witness that the sample being taken is of the dog being tested. In the circumstance where there are non of the above due to location, a Licensed Veterinarian must provide a sign declaration that the DNA Swab sample is taken by them. Samples will be rejected if they are taken solely by the owner without an authorised witness present. Once i receive the DNA Swab Sample Kit from the EBKC, I will send the sample not later than 5 days after sampling to the EBKC DNA Approved Laboratory.
ISAG DNA PROFILE TEST + EBKC DNA SWAB SAMPLE KIT*
Price:
DNA PTest and
Postage Fees for EBKC DNA SWAB SAMPLING KIT*
- Registered Mail Item (Postage Fee to send you Kit)
- Rush International Express Courier Mail (FEDEX/TNT)
Please select from Standard Mail, Registered Mail, Rush Service + Registered Mail, or International Express Courier Mail (FEDEX/TNT)
Total
0,00 €
Payment Method*

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

EBKC DNA PROFILE TEST & DNA SWAB SAMPLE KIT ORDER

DNA Profile Test + EBKC DNA Swab Kit Order

Owner Information

Co-Owner Information

Dog Information

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