NAAB STUD CODE

(Artificial Insemination Center Number)

APPLICATION

Please note that your application will not be processed unless all information fields are completed. If the requested information is not applicable to your business, indicate NA in the respective information field.

Date:

Applicant Name (Owner or CEO):

Title:

Type of Organization:
Corporation Partnership Cooperative Individual Other

Organization Name:
Application is hereby made for assignment of an NAAB STUD CODE (AI Center Number), to be issued in the name of:

Street1:
Street2:
City:
State:
Postal/Zip Code:
Country:
Telephone:
Fax:
E-mail:

Business Activity:

A. Date Business Activity Initiated:

B. Semen Production and Sale

1. Number of bulls you own:
Are bulls enrolled in NAAB Cross Reference Program? Yes No

2. Breeds of bull(s) you own:

3. Approximate number of units of semen sold and marketed through insemination service and direct semen sales during your last fiscal year:

USA Only

Total Units Sold:

Beef Units Sold in USA:

Dairy Units Sold in USA:

Beef Units Sold in Other Countries:

Dairy Units Sold in Other Countries:

International Only

Applicant's Country: Beef Units Sold Dairy Units Sold

Other Countries: Beef Units Sold Dairy Units Sold

4. In what states/countries do you sell semen?

5. Where do you obtain semen other than from your own bulls?

6. Approximate number of units of semen purchased during your last completed fiscal year:

Total:

Beef:

Dairy:

7. How many technicians do you employ?

8. Business activities other than production and sale of semen:

C. Custom Freezing

1. Approximate number of units of semen custom frozen during your last completed fiscal year:

Total:

Beef:

Dairy:

2. In what states do you provide service?

Administrative and Management Personnel:

A. Manager:
B. Domestic Marketing:
C. International Marketing:
D. Laboratory:
E. Veterinarian:

USA ONLY

F. Beef Sire Evaluation:
G. Dairy Sire Evaluation:
H. Editor and Publicity:
I. Field Services:
J. Accountant:
K. Other (please specify):

Semen Processing:

A. Number of semen collection/processing locations:

B. Type of semen packaging used (.25ml, .50ml straws, etc.):

C. Type of semen extender currently used:

D. Type of antibiotics currently used:

E. Freezing method employed:

F. Seminal quality control measures used:

G. Please indicate example of current format used on semen package for identification:

References

USA Applicants: List two or more persons affiliated with NAAB member organizations/the AI industry that are familiar with your operation as references. List the name and address of each in the box below.
International Applicants: List affiliations with USA businesses and name and address of each:

Please submit any additional information which provide pertinent background about your organization.

Agreement:

The applicant understands that an NAAB STUD CODE (AI center number) will be assigned only to a semen producing business for purposes of identifying said business(es) as it relates to semen produced by the said business(es).

Revised January, 2006

National Association of Animal Breeders
PO Box 1033
Columbia, Missouri 65205

Tel: (573) 445-4406
Fax: (573) 446-2279
Email: naab-css@naab-css.org