You must have JavaScript enabled to use this form. Important Northern Territory of Australia Local Government Act and City of Darwin By-Laws.See licence fees here. Owner's Details OWNER’S DETAILS NAR Number (if known) Surname Given names Date of birth Address Address City/Town State/Province - None -Australian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia ZIP/Postal Code Phone Email Is the animal's address different from the owner's address? Yes No Animal's Address Address City/Town State/Province - None -Australian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia ZIP/Postal Code Are all animals registered with the City of Darwin? Yes No Hereby apply for a licence/renewal of licence, as required by By-Law 49(3) of the City of Darwin Amendment (Animal Management) By-Laws 2023 Animal(s) details Animal(s) details Animal Details Animal Details Type Dog Cat Sex Male Female Desexed (proof required) Yes No Animal name Breed Age (Year and months) Colour Microchip No Upload desexing certificate (if applicable) One file only.30 MB limit.Allowed types: gif, jpg, jpeg, png, txt, rtf, html, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg. Do you require a Declared Dog sign? Yes No I declare that to the best of my knowledge all the above information is true and correct and I agree to comply with the conditions of registration in accordance with the Darwin City Council By-Laws. Yes Privacy Statement I acknowledge that I have read and understand the City of Darwin Privacy Statement . Yes Date Print Full Name SOCIALLY RESPONSIBLE CONSIDERATIONS When owning an animal it is understood that certain requirements are met to ensure the animal is kept safe and healthy. The below table outlines some of the considerations owners should consider when adopting an animal. I commit to practising responsible pet ownership by: Managing my animal to prevent noise nuisanceTaking appropriate steps should verified complaints be madeMeeting the requirements for my animals health and well-beingProviding continued physical and mental exercise and stimulation for my animalsWalking my animals on a leash Educating my family to care for the animalKeeping my animals vaccinations up to dateWatching my animal when in the presence of children or strangersCollecting faeces and dispose of in a sanitary mannerContinuing the training and socialisation processEnsuring my animal is appropriately contained. In choosing to care for an animal I understand these are my minimum requirements. I have read and agree to the Socially Responsible Considerations Yes CONDITIONS OF REGISTRATION – DANGEROUS DOG The owner will pay the difference between the registration fee payable for a dangerous dog and the fee paid for the dog’s current registration. The dog is fitted with an approved permanent electronic subcutaneous implant. An authorised officer will inspect and approve the premises on which the dog is usually kept to ascertain. The state and condition of the premises or its fencing, or both should comply with any other conditions imposed by the City of Darwin I understand and acknowledge the Dangerous Dog owner conditions Yes A Customer Service Officer will contact you to make payment before the form is processed. Leave this field blank
