STALLION CERTIFICATE OF SUITABILITY
BUCKSKIN HORSE ASSOCIATION NSW

NAME OF HORSE:	

NAME OF OWNER…………………………………………………………………………………………...

ADDRESS OF OWNER:	

COLOUR: 	 SEX:	 AGE:	

BREED:	 HEIGHT: 	

MICROCHIP (if applicable) …………………………………………………………BRANDS (draw on diagrams)

CLINICAL EXAMINATION

PLACE OF EXAMINATION:._	

PURPOSE OF EXAMINATION: SUITABILITY FOR THE BREEDING OF BUCKSKIN HORSES/PONIES.
I have examined the horse/pony described above and in my opinion, as far as is assessable, there is no evidence of the defects listed hereunder : -

Overshot or undershot mouth (overshot or undershot by more than 5.0mm)
Cryptorchidism or monorchidism
and accordingly, find the horse/pony to be suitable for the purpose for which it has been examined. NAME OF VETERINARY SURGEON ……………………………………………………………………. PRACTICE NAME & ADDRESS………………………………………………………………………...
CONTACT PHONE NUMBER OR EMAIL ADDRESS ……………………………………………
SIGNED: ……………………………………………..(Veterinary Surgeon) DATE ………………………
The Secretary BUCKSKIN HORSE ASSOCIATION NSW PC BOX 1712 WINDSOR SOUTH.2756