Western Australian Consolidated Regulations Western Australian Consolidated Regulations Every person who by
act or omission commits an offence against these regulations shall be liable
to a penalty of $100.
Form 1
Artificial Breeding of Stock Act 1965
Artificial Breeding (Cattle)
Regulations 1978
APPLICATION FOR A LICENCE OR
RENEWAL OF LICENCE
MINISTER FOR AGRICULTURE 2 ,
DEPARTMENT OF AGRICULTURE 3 ,
SOUTH PERTH.
I/We........................................................................................................................
of
............................................................................................................................
hereby apply for — *
a licence to use the premises for
* the renewal of my/our licence to use the
premises described hereunder for the
*
collection and processing of semen from cattle for
general sale or use with respect to the collection, dilution, examination,
chilling, freezing, storing, distribution, sale and use of semen,
* storage and sale of semen
from cattle,
*
transplantation of ova from cattle and any processes connected with
production, handling, fertilization and storage of ova for sale or use.
Fee ........................................................attached.
Address of
premises................................................................................................
Description of
premises..........................................................................................
Dated this ...................................... day of
...................................... 20 ................
.................................................................................
(Signature of Applicant(s))
* Strike out whichever is not applicable.
Form 2
WESTERN AUSTRALIA
Artificial Breeding of Stock Act 1965
Artificial Breeding (Cattle)
Regulations 1978
LICENCE
MINISTER FOR AGRICULTURE 2 ,
DEPARTMENT OF AGRICULTURE 3 ,
SOUTH PERTH.
.............................................................. of
.............................................................
(Name of Licensee(s)) (Address)
* is/are hereby licensed to use the premises described hereunder for
the —
* collection and
processing of semen from cattle for general sale or use with respect to the
processes of collecting, diluting, examining, chilling, freezing, storing,
distribution, sale and use of semen,
*
storage and sale of semen from cattle,
* transplantation of ova from cattle
and any processes connected with production, handling, fertilization and
storage of ova for sale or use.
Address of
premises................................................................................................
Description of
premises..........................................................................................
This licence remains in force until
............................................................. 20.......
and is
issued subject to the conditions prescribed by the Artificial Breeding of
Stock Act 1965 as amended, and regulations made thereunder, and to the
following conditions: —
(Insert here any special conditions.)
Issued this ................................................ day of
.................................... 20........
............................................................
Minister for
Agriculture 2 .
* Strike out whichever is not applicable.
Form 3
Artificial Breeding of Stock Act 1965
Artificial Breeding (Cattle)
Regulations 1978
APPLICATION FOR TRANSFER OF LICENCE
MINISTER FOR AGRICULTURE 2 ,
DEPARTMENT OF AGRICULTURE 3 ,
SOUTH PERTH.
I/We........................................................................................................................
of.............................................................................................................................
being the holder(s) of a licence to use the premises described hereunder,
hereby apply for the transfer of that licence
to...................................................................
of
............................................................................................................................
Address of premises
..............................................................................................
licensed for the —
* collection and
processing of semen from cattle for general sale or use;
* storage and sale of semen;
* transplantation of or from cattle
and any processes connected with the production, handling, fertilization and
storage of ova for sale or use.
Date this .............................. day of
.............................................. 20................
Fee .................................... attached.
......................................................................
Signature of Applicant(s).
......................................................................
Signature of Transferee(s).
* Strike out whichever is not applicable.
Form 4
Artificial Breeding of Stock Act 1965
Artificial Breeding (Cattle)
Regulations 1978
APPLICATION FOR VARIATION OF A LICENCE
MINISTER FOR AGRICULTURE 2 ,
DEPARTMENT OF AGRICULTURE 3 ,
SOUTH PERTH.
I/We.........................................................................................................................
of.............................................................................................................................
being the holder(s) of a licence in respect of the premises
at.................................
................................................................................................................................
for the purposes
of..................................................................................................
hereby apply for a variation of the licence so as to authorise the use of the
premises
for............................................................................................................
................................................................................................................................
Fee......................................................attached.
Dated this ............................................day of
........................................, 20........
................................................................
Signature of
licensee(s).
Form 5
Artificial Breeding of Stock Act 1965
Artificial Breeding (Cattle)
Regulations 1978
APPLICATION FOR CERTIFICATE OF COMPETENCY
CHIEF VETERINARY SURGEON,
DEPARTMENT OF AGRICULTURE 3 ,
SOUTH PERTH.
I..............................................................................................................................
of............................................................................................................................
hereby apply for —
* the issue to me of a certificate of competency
as a............................................
...............................................................................................................................
My qualifications are
............................................................................................
(Describe and attach evidence of qualifications, if any).
I CERTIFY that the information given above is true and correct.
Dated this .............................................. day of
.................................... 20..........
.........................................................................
Signature of Applicant.
Fee
....................................................................attached.
* Insert appropriate
class —
Herdsman‑inseminator
Authorised inseminator
Custom collector of
semen
Other.
Form 6
WESTERN AUSTRALIA
Artificial Breeding of Stock Act 1965
Artificial Breeding (Cattle)
Regulations 1978
Certificate No............................
DEPARTMENT OF AGRICULTURE 3
SOUTH PERTH
CERTIFICATE OF COMPETENCY
I HEREBY CERTIFY THAT
................................................................................
of
............................................................................................................................
possesses the requisite knowledge and experience as a
*.......................................
for the purposes of
section 10(1) of the Act, and is hereby authorised to
................................................................................................................................
Issued this ..................................... day of
......................................, 20................
....................................................................
Chief
Veterinary Surgeon.
* insert appropriate
class —
Herdsman‑inseminator
Authorised inseminator
Custom collector of
semen
Other.
Form 7
Artificial Breeding of Stock Act 1965
Artificial Breeding (Cattle)
Regulations 1978
CHIEF VETERINARY SURGEON,
DEPARTMENT OF AGRICULTURE 3 ,
SOUTH PERTH.
Half Yearly Record of Semen Receivals and Usage
Six months ended *30th June, 20.............................
31st
December, 20........................
Licensed Premises of at
Stock on hand, beginning of period
.......................................................................
Receivals — (doses) Beef
Dairy
Bulls at Australian
centres
Bulls at U.K. centres
Bulls at N.Z. centres
Bulls at other
centres
Custom collected
Usage
Distributed to
Licensed premises in W.A.
Licensed premises outside W.A.
Authorised inseminators
Herdsman‑inseminators
Owner users
Destroyed
Used for other purposes
Stock on hand at end of period
..............................................................................
Licensee .......................................................
Date
..............................................................
Form 8
Artificial Breeding of Stock Act 1965
Artificial Breeding (Cattle)
Regulations 1978
CHIEF VETERINARY SURGEON,
DEPARTMENT OF AGRICULTURE 3 ,
SOUTH PERTH.
Inseminator Annual Return of Semen usage and Non‑Return Ratios
(60/90
day)
For year ending 31st December, 20...................
(to be submitted by 30th
April following)
Semen usage
Form 9
Artificial Breeding of Stock Act 1965
Artificial Breeding (Cattle)
Regulations 1978
Notification of Custom Collection
CHIEF VETERINARY SURGEON,
DEPARTMENT OF AGRICULTURE 3 ,
SOUTH PERTH.
Collector:
Name..........................................................................................
Address
.....................................................................................
...................................................................................................
Owner of Bull
...................................................................................................
Address
...................................................................................................
Bull
Name
Identification — Breed
Tattoo
Semen identification
Name
Batch
Date
No.
Doses
Where stored
Certified semen collected, processed and stored as indicated.
....................................................................
Collector
Form 10
WESTERN AUSTRALIA
Artificial Breeding of Stock Act 1965
Artificial Breeding (Cattle)
Regulations 1978
PERMIT TO ENTER ANIMAL SEMEN
To the
Owner/Agent/Person‑in‑Charge..................................................................
The animal semen described below, which arrived at
...........................................
on the ..........................................................
20............ has been inspected and is permitted to enter W.A.
|
Number of doses |
Identification |
Name and address of consignor |
Name and address of consignee |
|
|
Inspector............................................................
Date..............................................................
Form 11
WESTERN AUSTRALIA
Artificial Breeding of Stock Act 1965
Artificial Breeding (Cattle)
Regulations 1978
Regulation 19
DECLARATION OF STOCK HEALTH WITHIN A LICENSED
SEMEN PRODUCTION CENTRE
Date .........................................................
CHIEF VETERINARY SURGEON,
DEPARTMENT OF AGRICULTURE 3 ,
SOUTH PERTH.
I,
...........................................................................................,
Veterinary Supervisor to the
......................................................................................
Semen Production Centre, certify:
(a) That I have, within the preceding
14 days, examined all stock within the Centre and found them to be free
from evidence of infectious and contagious disease.
(b) That
during the past 12 months no evidence of hereditary disease has been
observed in the breeding sires at the Centre nor in stock bred therefrom, with
the following exceptions:
|
Sire |
Disease Observed |
No. of progeny affected |
|
|
(c) That
during the 12 months to 31 December ............................ no
animals have been introduced to the licensed premises except in accordance
with the requirements of regulations 8‑ 16.
(d) That
all animals within the licensed premises have been re‑tested with
negative results, or treated where appropriate, in accordance with the
requirements of regulation 17; excepting the following animals for the
reasons stated:
|
Animal |
Test Required |
Reason for delay |
|
|
(Signed)
..........................................................................
VETERINARY SUPERVISOR.
(Signed)
..........................................................................
LICENSEE.