Contact Profile · Custom Portal

Participant Details

First Name *

Last Name *

Herd No *

Mobile No *

Email *

Address1 *

Address2

City *

County *

Eircode

Programme Participation

Principal Herd/Application Type

Dairy

Beef

Pedigree Breed Society(if applicable)

Breed Society?

Milk Processor/Co-op *

Nominated Approved Veterinary Practitioners * Practice Name and Address

Intended Sample Type *
Milk Recording Organization *

Programme Permission

By ticking this box submitting this form, I confirm that I have read and agree to the Requirements for Registration in the Irish Johne’s Control Programme available here. In the event of and in consideration of my Registration and acceptance for participation in the Programme in due course, I undertake, agree, consent, acknowledge, accept and confirm the programme requirements as set out therein.