FORM III

[See sub-rule (1) of rule 4]
Report of Stocks
To
            The ________________________
            ____________________________
            ____________________________
1. Full name, address and Licence No. of the licensee ________________
2. Stock held on the date of report in specified animals:
(a) Species and sex_________________________________________
(b) Number _______________________________________________
(c) Adult or juvenile ________________________________________
(d) Premises where kept _____________________________________
3. Stock held on the date of report in animal articles:
(a) Description, including species of animal from which derived ______
(b) Number _____________________________________________
(c) Dimension or weight _____________________________________
(d) Premises where kept ______________________________________
4. Stock held on the date of report in trophies:
(a) Description, including species of animal from which derived _______
(b) Number _______________________________________________
(c) Dimension or weight _____________________________________
(d) Premises where kept _____________________________________
5. Stock held on the date of report in uncured trophies:
(a) Description, including species of animal from which derived _______
(b) Number ______________________________________________
(c) Dimension or weight _____________________________________
(d) Premises where kept _____________________________________
6. Remarks, if any __________________________________________
I do hereby declare that the information given above is true to the best of my knowledge and belief.
Signature of the person making declaration
Place:
Date:
Strike out whichever is not applicable.