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BREEDER CERTIFICATE

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CERTIFICATE REFERENCE

EPB-BC-20261106-439851

COMMON NAME

SCIENTIFIC NAME

MORPH / VARIETY

SEX

HATCH / BIRTH DATE

BREEDER ANIMAL REFERENCE

MICROCHIP / RING / IDENTIFICATION

BREEDER / BUSINESS NAME

BREEDER FULL NAME

EXOPETBAYAN PROFILE

LOCATION / CONTACT DETAILS

SIRE — NAME / REFERENCE

DAM — NAME / REFERENCE

SIRE — MORPH / ORIGIN

DAM — MORPH / ORIGIN

ADDITIONAL LINEAGE / BREEDING NOTES

BREEDER LOGO / STAMP NOTES

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