HOMING PIGEON TEST REQUEST FORM

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Instructions:
- Fill out the form in all its parts
- After filling out the form complete with all its data, press SEND at the bottom of the page before printing.
- At this point, the form must be:
1. Printed
2. Stamped
3. Signed by the VETERINARY
4. Signed by the OWNER
5. Posted attached to the sample and to the copy of payment.
- The report is mailed to the owner

 

INFORMATIONS
TEST(S) REQUESTED
DNA sample storage
Genetic Identification
Parentage determination  ( include genetic identification )

ATTENTION : for the parentage determination you can check the real relation-ship father + mother = son/s and it is effectuated thanks to the test of the identification of the DNA. – For each subject is necessary to fill a single form.

  PRICE
 

 € 0,00 Totale

SAMPLE
Blood
Vetkard
Feathers 

The feathers are obbligatory in case of blood or vetkard sampling.
We advise to tear 2 feathers from the back; the feathers mustn’t be already dead and so already taken off. The feathers must be torn with their base (calamus) ,in that, the DNA is here contained.

SAMPLING
Date of sampling
City
Veterinary name
Veterinary E-mail
Note
OWNER INFORMATIONS
Name
Adress
City / Province
Postal code / Country
Phone
E-mail
INVOICE DATA  (if are different from owner )
Name
Address
HOMING PIGEON IDENTIFICATION
Registered Name
Mantle
Sex
Ring Number
Microchip
FAMILY HOMING PIGEON INFORMATIONS (for parentage)
Registered name of Sire
Registered number of Sire
Registered name of Dam
Registered number of Dam
   

CERTIFICATION    (required)
The undersigned authorizes "Vetogene" at the processing of personal data transmitted pursuant to Decree Legislative No. 196, 2003 (D.Leg.196/2003) and give my consent to data processing and possibly biological material for research purposes (whose results will be released so as not to identify the source)