| Dogs Australia Registered Name | Lego Brick |
|---|---|
| Dogs Australia Registered No | 3123456789 |
| Dog’s Date of Birth | 01/04/2022 |
| Sex | Male |
| Microchip No | 979846513212312 |
| Name of Owner | Patrick Puffer |
| Address | 123 Smith St Clayton, Victoria 3149 Map It |
| Phone | 0403123456 |
| Uploaded Pedigree File | SAMPLE-ANKC-Pedigree-Brickman1.pdf |
| Owners Signature |