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Animal
Surrender
Request
Please fill the request below
First & Last Name
*
Email Address
*
Phone Number
*
Age
*
Nationality
*
Location / City
*
Source of the Animal
*
Gifted to me
Bought it from a shop
Bought it online ( unlicensed)
Bought it through a connection
Adopted
Found it in my residence / work place
Rescued from the street
Rescued / surrendered by another individual
Select Animal Type
*
Cats
Dogs
Birds
Rabbits
Reptiles
Others
Check all That Apply
Specify Other Animal Type
Animal Age
Animal Breed
Animal gender
*
Male
Female
How long is the Animal with you?
*
Less than 1 month
Less than 1 year
Less than 5 years
Less than 10 years
Less than 15 years
Is the Animal?
TESTED FOR COMMON DISEASES
VACCINATED
SPAYED/NEUTERED
MICROCHIPPED
Which Disease ?
Any disability ? Checkbox
One eye
Fully blind
3 legged
2 legged
Lower limbs paralysis
Fully paralysed
Urinary incontinence
Stool incontinence
4 teeth or less
Any special condition ?
FIV
FELV
FIP
Diabetes
Cancer
Kidney Failure
Liver Failure
Is the animal aggressive ?
*
No
Yes
REASON OF ABANDONING
PERSONAL
LEAVING THE COUNTRY
MOVING TO ANOTHER HOME ( Pets Not Allowed )
MOVING TO ANOTHER HOME ( Smaller Flat )
MARRIAGE - SPOUSE DOES NOT WANT PETS
DIVORCE
PREGNANCY / BIRTH OF A CHILD
HEALTH ISSUES : If Checked Pls SPECIFY
OTHER FAMILY MEMBER DOES NOT WANT THE PET
FEAR
CHANGED YOUR MIND about having a pet
NEED HELP
FINANCIAL ISSUES
OTHERS : Please Specify
Specify Health Issues
Specify Other Personal Reasons
RELATED TO THE ANIMAL
BEHAVIOUR PROBLEMS
SICKNESS
NOT GETTING ALONG WITH OTHER PETS IN THE HOME
Specify Problems
How Long can you keep the animal before surrendering it ?
*
What's the best place you suggest for the animal ?
Home
Farm
Safe place in the city
ARE YOU READY TO SUPPORT THE BOARDING/FOSTERING OF YOUR PET UNTIL WE FIND ANOTHER HOME FOR IT?
*
Yes
No
HOW CAN YOU SUPPORT?
Please Upload 3 Clear Photos of your Animal
Upload Photo 1
Choose File
No file chosen
Delete uploaded file
Each Picture cannot exceed 8MB
Upload Photo 2
Choose File
No file chosen
Delete uploaded file
Each Picture cannot exceed 8MB
Upload Photo 3
Choose File
No file chosen
Delete uploaded file
Each Picture cannot exceed 8MB
FOOD SUPPLY FOR 1 MONTH - CAT 200 AED, DOG 300 AED
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