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If this page displays an entry form with no image sample visible, please categorise 'Entry form' and transcribe all fields except the height and width of the image sample.

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If this page displays an entry form & an image sample (with ALL handwritten text & the image sample visible), please categorise ‘Entry form’ and transcribe all fields including the image number (if present) and the height and width of the image sample.

Page type: Entry form

Item number (top right of entry form): 396

Image number (corner of image sample itself - leave blank if not visible):

Date of registration stamp:

Date form completed (next to signature): 30 January 1886

Description of work: Oil painting in monochrome "Guilty Conscience".
Depicting a mongrel dog having stolen a duck which is lying on the ground while he listens at the hole in the gate by which he has entered the yard he lives in. The shadow of an approaching cat is shown on the wall behind him.

Date of Agreement or Assignment:

Names of Parties to Agreement or Assignment:

Name and Place of Abode of Proprietor of Copyright (use commas): John Charles Dollman, Hove House, Newton Grove, Bedford Park, W

Name and Place of Abode of Author of Work (use commas): John Charles Dollman, Hove House, Newton Grove, Bedford Park, W

Approximate height of image sample (cm):

Approximate width of image sample (cm):

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