Application for a Licence to Keep Game Birds in Captivity | Ministry of Natural Resources and Forestry

Personal information contained on this form is collected under the authority of the Fish and Wildlife Conservation Act, 1997 and will be used for the purpose of licencing, identification, enforcement, resource management and customer service surveys. Please direct further enquiries to the District Manager of the MNRF issuing district.

Current Licence No.(if applicable)

Last Name

First Name

Middle Name

Name of Business/Organization/Affiliation (if applicable)

OR

Name of Corporation / Indian Band

Corporation No. (if applicable)

Last name

First name

Contact phone #

Street Name & No./PO Box/RR#

City/Town/Municipality

Province/State

Postal Code/Zip Code

Street Name & No./PO Box/RR#

City/Town/Municipality

Province/State

Postal Code/Zip Code

Home telephone

Business telephone

Email address

Street Name and No., Lot, Conc.

City, Township, Municipality

This application is being made for the following species and numbers of Game Birds

Previous Year's Holdings (Complete as applicable)

Yes

No

Quantity at start of Previous Year

Quantity Hatched

Quantity Acquired

Quantity Sold

Quantity Died

Quantity Traded

Balance at Year End

Yes

No

Quantity at start of Previous Year

Quantity Hatched

Quantity Acquired

Quantity Sold

Quantity Died

Quantity Traded

Balance at Year End

Yes

No

Quantity at start of Previous Year

Quantity Hatched

Quantity Acquired

Quantity Sold

Quantity Died

Quantity Traded

Balance at Year End

Yes

No

Quantity at start of Previous Year

Quantity Hatched

Quantity Acquired

Quantity Sold

Quantity Died

Quantity Traded

Balance at Year End

Yes

No

Quantity at start of Previous Year

Quantity Hatched

Quantity Acquired

Quantity Sold

Quantity Died

Quantity Traded

Balance at Year End

Yes

No

Quantity at start of Previous Year

Quantity Hatched

Quantity Acquired

Quantity Sold

Quantity Died

Quantity Traded

Balance at Year End

Yes

No

Quantity at start of Previous Year

Quantity Hatched

Quantity Acquired

Quantity Sold

Quantity Died

Quantity Traded

Balance at Year End

Yes

No

Quantity at start of Previous Year

Quantity Hatched

Quantity Acquired

Quantity Sold

Quantity Died

Quantity Traded

Balance at Year End

Yes

No

Quantity at start of Previous Year

Quantity Hatched

Quantity Acquired

Quantity Sold

Quantity Died

Quantity Traded

Balance at Year End

I certify that the information provided in this application is true

Signature of Applicant

Date of Application (YYYY/MM/DD)