Jagdgebrauchshundverband e.V.

Report and Result of a Bringtreue-Prüfung (Btr)

Club nr.:OrganizingClub:

Formblatt 252019-1

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City and date:

Note: The Test Director must submit the test report to the Breed Book Registrar (Stammbuchführer) within four weeks of the test. If the deadline is exceeded, a processing fee of 25, - € per dog, but max.150, - € is payable for the late submission of the test report. (Annex I to VZPO, VGPO and VPSO).Data privacy statement of the reporting club: For the reporting club, this signature confirms that the consent of the entitled party required by the DSGVO for the processing of data by the JGHV or third parties named in the data processing directory has been submitted. Disclaimer: The reporting club releases the JGHV from any liability that may arise from the processing of the reported data, insofar as the JGHV is without fault of its own.

Club stamp

VR number Last name, first name, complete address

Description of the testing area:

Appeared: Passed:

Test location(city/state):

Entered:

Test Director Name:

Address:

Verbandsrichter (VR):

VR number:

Tel. nr:

Test Director Judge JudgeSenior Judge (RO)

VR-Nr.: VR-Nr.: VR-Nr.: VR-Nr.:

Numbers and names of the dogs (see page 2)

Dogs with the following running numbers have passed:

Dogs with the following running numbers did not pass:

Dogs with the following running numbers were at the game, but did not retrieve it.

Page 1 of 2

Test date:

2019-1Formblatt 25

Page 2 of 2

Postalcode:

City ofresidence:

Whelpdate:

DGStB-Nr.:

Name of the dog:

Breed:

Handler:

ZB-Nr.:

Male Female1.

Postalcode:

City ofresidence:

DGStB-Nr.:

Name of the dog:

Breed:

Handler:

ZB-Nr.:

Male Female2.

Postalcode:

City ofresidence:

DGStB-Nr.:

Name of the dog:

Breed:

Handler:

ZB-Nr.:

Male Female3.

Postalcode:

City ofresidence:

Whelpdate:

DGStB-Nr.:

Name of the dog:

Breed:

Handler:

ZB-Nr.:

Male Female4.

Postalcode:

City ofresidence:

Whelpdate:

DGStB-Nr.:

Name of the dog:

Breed:

Handler:

ZB-Nr.:

Male Female5.

Postalcode:

City ofresidence:

Whelpdate:

DGStB-Nr.:

Name of the dog:

Breed:

Handler:

ZB-Nr.:

Male Female6.

Postalcode:

City ofresidence:

Whelpdate:

DGStB-Nr.:

Name of the dog:

Breed:

Handler:

ZB-Nr.:

Male Female7.

Postalcode:

City ofresidence:

Whelpdate:

DGStB-Nr.:

Name of the dog:

Breed:

Handler:

ZB-Nr.:

Male Female8.

Postalcode:

City ofresidence:

Whelpdate:

DGStB-Nr.:

Name of the dog:

Breed:

Handler:

ZB-Nr.:

Male Female9.

Postalcode:

City ofresidence:

Whelpdate:

DGStB-Nr.:

Name of the dog:

Breed:

Handler:

ZB-Nr.:

Male Female10.

Whelpdate:

Whelpdate: