Xxxxxxx č. 11 x xxxxxxxx č. 357/2001 Sb.
VZOR XXXXXXX XXXX
Xxxxx x majiteli
1. Xxx xxxxxxx je xxxxxx příslušnost xxxx xxxxxxx xx státní xxxxxxxxxxxx xxxx xxxxxxxx.
2. Xxx xxxxx xxxxxxxx xxxx být xxxxxx xxxx xx xxxxxxxx xxxxxx příslušné organizaci x xxxxxxxx) xxxxx x xxxxxx xxxxxx xxxxxxxx k zaregistrování xxxxx.
3. Xxxxx xx xxx xxxx než xxxxxxx xxxxxxxx, xxxx xx x xxxxxxx xxxxxxxxxxx, xxxx xxx x xxxxxxx xxxxxxx xxxxx a státní xxxxxxxxxxx osoby xxxxxxxxx xx xxxx. Xxxxx xxxx xxxxxxxx xxxxxxx xxxxxxxx příslušenství, musí xxxxx státní xxxxxxxxxxx xxxx.
4. Jestliže Xxxxxxxxxxx xxxxxxxx xxxxxxxx xxxxxxx xxxxxxxx xxxx Národní xxxxxxxxx federací, xxxx xxx xxxxxxxxxxx této xxxxxxxxx xx této xxxxxxx xxxxxxx.
Xxxxxxx xx xxxxxxxxx
1. Xxx competitive xxxxxxxx, xxx xxxxxxxxxxx xx the xxxxx xx xxxx of xxx owner.
2. Xx xxxxxx xx ownership xxx xxxxxxxx xxxx xxxxxxxxxxx be lodged xxxx xxx xxxxxxx xxxxxxxxxxxx, xxxxxxxxxxx xx xxxxxxxx xxxxxx, xxxxxx xxx xxxx xxx xxxxxxx of xxx xxx xxxxx, for xxxxxxxxxxxx and forwarding xx the xxx xxxxx.
3. If xxxxx xx xxxx xxxx xxx xxxxx or xxx horse xx xxxxx by x xxxxxxx, xxxx the xxxx xx xxx xxxxxxxxxx xxxxxxxxxxx for xxx horse xxxx xx xxxxxxx xx xxx xxxxxxxx xxxxxxxx xxxx xxx nationality. Xx xxx owners xxx of xxxxxxxxx xxxxxxxxxxxxx, xxxx xxxx xx xxxxxxxxx xxx xxxxxxxxxxx xx xxx xxxxx.
4. Xxxx the Xxxxxxxxxx équestre xxxxxxxxxxxxxx xxxxxxxx xxx xxxxxxx xx x xxxxx xx x xxxxxxxx xxxxxxxxxx xxxxxxxxxx, the xxxxxxx xx xxxxx xxxxxxxxxxxx xxxx xx xxxxxxxx xx the xxxxxxxx equestrian federation xxxxxxxxx.
Xxxxxxx xx xxxxx xx xxxxxxxxx
1. Xxxx xxx xxxxxxxxxxxx, xx xxxxxxxxxxx xx cheval xxx celle xxx xxx xxxxxxxxxxxx.
2. Xx xxx xx xxxxxxxxxx xx propriétaire, xx xxxxxxxxx xxxx xxxx xxxxxxxxxxxxx xxxxxx auprés xx l´organisation, x´xxxxxxxxxxx xx xx xxxxxxx xxxxxxxx l´ayant xxxxxxx xxxx xx nom xx x´xxxxxxx du xxxxxxx xxxxxxxxxxxx afin xx xx lui xxxxxxxxxxx aprés xxxxxxxxxxxxxxxx.
3. X´xx y x xxxx d´un xxxxxxxxxxxx xx si xx xxxxxx xxxxxxxxxx x xxx xxxxxxx, xx xxx xx xx xxxxxxxx responsable pour xx cheval xxxx xxxx xxxxxxx dans xx xxxxxxxxx xxxxx xxx xx xxxxxxxxxxx. Xx les xxxxxxxxxxxxx xxxx xx xxxxxxxxxxxx xxxxxxxxxxx, xxx xxxxxxx xxxxxxxx xx nationalité xx cheval.
4. Xxxxxxx xx Xxxxxxxxxx équestre xxxxxxxxxxxxxx approuve la xxxxxxxx d´un xxxxxx xxx xxx Xxxxxxxxxx xxxxxxxx nationale, xxx xxxxxxx de xxx xxxxxxxxxxxx xxxxxxx etre xxxxxxxxxxx xxx xx Xxxxxxxxxx xxxxxxxx xxxxxxxxx xxxxxxxxxx.
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Xxxxx xxxxxxxxxx Jméno xxxxxxxx Xxxxxx xxxxxxxx Xxxxxx xxxxxxxxxxx Podpis xxxxxxxx Razítko příslušné
příslušné xxxxxxxxxx Xxxx xx xxxxx Address xx xxxxx xxxxxxxx Signature xx xxxxx xxxxxxxxxx x xxxxxx
Xxxx xx xxxxxxxxxxxx, Nom du Xxxxxxx xx Xxxxxxxxxxx xx owner Signature xx Xxxxxxxxxxxx,
xx the xxxxxxxxxxxx, propriétaire popriétair Xxxxxxxxxxx du xxxxxxxxxxxx xxxxxxxxxxx xx
xxxxxxxxxxx, xx Xxxxxxxxxxx du xxxxxxxx xxxxxx stamp
official xxxxxx xxxxxxxxxxxx xxx xxxxxxxxx
Xxxx x´xxxxxxxxxxxxxx Xxxxxx xx x´xxxxxx-,
xxx l´organisation, xxxxxx, xxxxxxxxxxx
x´xxxxxxxxxxx ou xx xx xxxxxxx xxxxxxxx
xxxxxxx xxxxxxxx xx xxxxxxxxx
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Xxxxx xxxxxxx xxxx
Xxxxxx x xxxxxxxx
Xxxxx očkování xxxx xxxx xxx xxxxxxx x xxxxxx zapsáno x xxxx xxxxxxx xxxxxxx x xxxxxxxxx xxxxxx, podpisem a xxxxxxxx veterinárního xxxxxx.
Xxxxxx xxxxxxxx only
Vaccination xxxxxx
Xxxxxxx xx xxxxx vaccination xxxxx xxx xxxxx xxxxxxxxx xxxx xx xxxxxxx clearly xxx xx xxxxxx, xxx xxxxxxxxx xxxx the xxxx xxx xxxxxxxxx xx xxxxxxxxxxxx.
Xxxxxx xxxxxx xxxxxxxxx
Xxxxxxxxxxxxxx des vaccinations
Toute xxxxxxxxxxx xxxxx xxx xx xxxxxx xxxx xxxx xxxxxx xxxx xx xxxxx ci-dessous xx facon xxxxxxx xx xxxxxxx avec xx nom xx xx signature du xxxxxxxxxxx.
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Xxxxx Xxxxx Xxxx Xxxxxxx Xxxxx, podpis x xxxxxxx
Xxxx Xxxxx Xxxxxxx Xxxxxxx veterinárního xxxxxx
Xxxx Xxxx Vaccin Xxxx, xxxxxxxxx and xxxxx xx
_________________________ xxxxxxxxxxxx
Xxxxx Xxxxx xxxxx Nom, xxxxxxxxx xx cachet xx
Xxxx Xxxxx number xxxxxxxxxxx
Xxx Xxxxxx xx xxx
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Xxxxxxxx xxxxxxxxxx xxxx xxxxxxxxx v tomto xxxxxxx
Xxxxxxxx xxxxxxxxxx xxxx xx xxxxxxxxx xxxxxxxxxxxx xxx soutěžích, dostizích xx veterinárních xxxxxxxxxxx. Xxxxxxxxx xxxx strany xxxxxxx, že xxxxx xxxxxxxxxxxx xxxx je x xxxxxxx s xxxxxxxxx xxxxxxxxxxx xxxxxxxx xx xxxxxxxxx xxxxxx.
Xxxxxxxxxxxxxx xx the horse xxxxxxxxx xx xxxx xxxxxxxxx
Xxx identity xx xxx horse must xx xxxxxxx xxxx xxxx this xx xxxxxxxx by xxxxx xxx xxxxxxxxxxx xxx xxxxxxxxx xxxx it xxxxxxxx with xxx xxxxxxxxxxx xxxxx xx xxx xxxxxxx xxxx xx its xxxxxxxx.
Xxxxxxxxx x´xxxxxxxx du cheval xxxxxx dans xx xxxxxxxxx
X´xxxxxxxx du cheval xxxx xxxx controlée xxxxxx xxxx que xxx xxxx xx xxxxxxxxxx x´xxxxxxx : xxxxxx xxxxx xxxx xxxxxxxx xxx le xxxxxxxxxxx du xxxxxx xxxxxxxx xxx xxxxxxxx x xxxxx xx xx paga xx xxxxxxxxxxx.
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Xxxxx xxxxxxxx (xxxx, Xxxxx, podpis x xxxxxx xxxxx xxxxxxxxx xxxxxxxxx
Xxxxx Xxxx a xxxx osvědčení xxxx.) Xxxxxxxxx, name (xxxxxxx) xxx status xx xxxxxxxx
Xxxx Xxxx and Xxxxxxx xx control (xxxxx, xxxxxx verifying xxx xxxxxxxxxxxxxx
xxxxxxx certificate, xxx.) Xxxxxxxxx, xxx xx xxxxxxxxx xx xxxxxxx xx xx
Xxxxx xx pays Xxxxx xx xxxxxxxx (concours, xxxxxxxx ayant xxxxxxx x´xxxxxxxx
xxxxxxxxxx xxxxxxxxx, xxx.)
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Xxxx xxxxxx než influenza xxxx
Xxxxxx xxxxxxxx
Xxxxx xxxxxxxx xxxx xxxx xxx xxxxxxx a přesně xxxxxxx x níže xxxxxxx xxxxxxx x xxxxxxxxx xxxxxx, xxxxxxxx x xxxxxxxx xxxxxxxxxxxxx xxxxxx.
Xxxxxxxx xxxxx xxxx xxxxxx influenza
Vaccination xxxxxx
Xxxxxxx xx xxxxx xxxxxxxxxxx xxxxx xxx horse xxxxxxxxx xxxx xx xxxxxxx xxxxxxx xxx xx detail, xxx xxxxxxxxx xxxx the xxxx xxx signature xx xxxxxxxxxxxx.
Xxxxxxxx autres xxx xx xxxxxx xxxxxx
Xxxxxxxxxxxxxx des xxxxxxxxxxxx
Xxxxx xxxxxxxxxxx subie par xx xxxxxx xxxx xxxx xxxxxx dans xx cadre xx-xxxxxxx xx facon xxxxxxx xx xxxxxxx avec xx xxx xx xx signature du xxxxxxxxxxx.
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Xxxxxxx/Xxxxxxx/Xxxxxx Jméno, xxxxxx x xxxxxxx xxxxxxxxxxxxx
Xxxxx Xxxxx Země lékaře
Date Xxxxx Country _________________________________ Xxxx, signature and xxxxx xx
Xxxx Xxxx Xxxxx Xxxxx xxxxx Xxxxxx(x) veterinarian
Name Batch xxxxxx Xxxxxxx(x) Xxx, xxxxxxxxx xx xxxxxx xx xxxxxxxxxxx
Xxx Xxxxxx xx xxx Xxxxxxx(x)
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Xxxxxxxxx xxxxxxxxx xxxxxxxxx autorizovanou xxxxxxxxxx
Xxxxxxxx xxxxx vyšetření, xxxxxxxxxxx xx xxxxxxxx xxxxx xxxxxxxxxxx xxxx xxxxxxxxxx xxxxxxxxxx xxxxxx xxxxxxxxxxx správou země, xxxx xxx xxxxx x xxxxxxxx xxxxxxx xxxxxxxxxxx, xxxxx xxxxxxxxxxxx xxxxxxxx xxxxxxxxxx vyšetření.
Laboratory xxxxxx xxxx
Xxx xxxxxx xx xxxxx xxxx xxxxxxx xxx xxx x transmissible disease xx x xxxxxxxxxxxx xx x laboratory xxxxxxxxxx xx xxx xxxxxxxxxx veterinary xxxxxxx xx xxx country xxxx xx xxxxxxx xxxxxxx xxx in xxxxxx by xxx xxxxxxxxxxxx xxxxxx on xxxxxx xx xxx xxxxxxxxx requesting the xxxx.
Xxxxxxxxx xxxxxxxxxx xxxxxxxxx xxx des xxxxxxxxxxxx
Xx xxxxxxxx xx xxxx xxxxxxxx xxxxxxxx xxx xx xxxxxxxxxxx pour xxx maladie xxxxxxxxxxxxx xx par xx xxxxxxxxxxx xxxxx xxx xx service vétérinaire xxxxxxxxxxxxxx xx xxxx xxxx xxxx noté xxxxxxxxxx et en xxxxxxx par le xxxxxxxxxxx qui xxxxxxxxxx x´xxxxxxxx demandant le xxxxxxxx.
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Xxxxxxxxxx xxxxxx Druh xxxxxxxxx Xxxxxxxx xxxxxxxxx Xxxxx protokolu Xxxxxxxxxxxx xxxxxx- Xxxxx, xxxxxx x
Xxxxx Transmissible Type xx test Result xx xxxx Record xxxxxx xxx, xxxxx xxxxxxxxxxx razítko xxxxxxxxxxxxx
Xxxx xxxxxxx tested xxx Xxxxxx xx Résultat xx Xxxxxx du xxxxxx xxxxxx
Xxxxxxxx l´examen x´xxxxxx protocole Official xxxxxxxxxx to Xxxx, xxxxxxxxx
xxxxxxxxxxxxxx xxxxx xxxxxx xx sent and xxxxx xx
xxxxxxxxxx Xxxxxxxxxxx xxxxxxxx xxxxxxxxxxxx
x´xxxxxxx xx Xxx, xxxxxxxxx et
prélévement xxxxxx xx
xxxxxxxxxxx
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Xxxxxxxx xxxxx xxxx
1) Identifikační číslo xxxx
Xxxxxxxxxxxxxx Xx
Xx x´xxxxxxxxxxxxxx
2) Xxxxx
Xxxx
Xxx
3) Pohlaví
Sex
Sexe
4) Barva
Colour
Robe
5) Xxxxxxx
Xxxxx
Xxxx
6) Xxxx
Xxxx
Xxxx
7x) Matka 7x) Xxxx xxxxx
Xxx xx
Xxxx xxx
8) Xxxxx xxxxxxxx
Xxxx xx foaling
Date xx xxxxxxxxx
9) Xxxxx xxxxxxxx
Xxxxx where xxxx
Xxxx x´xxxxxxx
10) Chovatel(é)
Breeder(s)
Naisseur(s)
11) Potvrzeno xxx
xxxxxxxxx on
validé le
- Xxxxx xxxxxxxxxxx xxxxxx
Xxxx xx the xxxxxxxxx xxxxxxxxx
Xxx xx l´autorité xxxxxxxxx
- Xxxxxx
Xxxxxxx
Xxxxxxx
- Telefon
Telephone Xx
Xxxxxxxx xxxxx
- Xxx
Xxx xxxxxx
X xx télécopie
- Xxxxxx
(xxxxxxx písmeny jméno x funkce podepsaného)
Signature
(Name xx xxxxxxx xxxxxxx xxx xxxxxxxx xx xxxxxxxxx)
Xxxxxxxxx
(xxx xx lettres xxxxxxxxx xx qualité xx signataire)
- Xxxxxxx
Xxxxx
Xxxxxx
12) Xxxxxxxx popis
Grafický xxxxx
13) Xxxxx xxx xxxxxx
Xxxxxxxxxxx xxxxx xxxx dam xx
Xxxxxxxxxxx xxxxxx sous xx xxxx xxx
x) Xxxxx
Xxxx
Xxxx
x) Xxxx přední xxxxxxxxx
Xxxxxxx X
Xxx. X
x) Xxxxx přední xxxxxxxxx
Xxxxxxx X
Xxx. X
x) Levá xxxxx xxxxxxxxx
Xxxxxxx X
Xxxx X
x) Pravá xxxxx xxxxxxxxx
Xxxxxxx X
Xxxx X
x) Xxxx
Xxxx
Xxxxx
x) Odznaky
Markings
Marques
h) Xxx
Xx
Xx
14) Xxxxxx a razítko xxxxxxxxxxx xxxxxx (xxxxxxx xxxxxxx jméno xxxxxxxxxxx)
Xxxxxxxxx xxx stamp of xxx xxxxxxxxx authority (xxxx xx signatory xx xxxxxxx xxxxxxx)
Xxxxxxxxx xx xxxxxx xx xxxxxxxx xxxxxxxxxx (xxx xx signataire xx xxxxxxx xxxxxxxxx)
Xxxxxxxxx xxxxxxxxxxxxx xxxxxx x xxxxxxxxxx xxxxx x xxxxxxxx xxxxxxx v xxxxx
Xxxxxxxxxx xxxxxxxxxxxxx xxx xxxxxxxxxx xxxxxxxxx/Xxxxxxxxxx sanitaire pour xx xxxxxxxxx indigéne
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Datum Xxxxxxxx klinického Xxxxxxxx xxxxxxx Doba xxxxxxxxx, xxxx xxxxxx Xxxxx, xxxxxx a xxxxxxx
xxxxxxxxx xxxx x chovu x xxxxx určení xxxxxxxxxxxxx xxxxxx
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Xxxxxxxxx příslušného xxxxxx xxxxxxxxxxx xxxxxx x xxxxxxxx situaci x xxxxxx
Xxxxxxxxxx certification xxx xxxxxxxxxx transport/Certificat xxxxxxxxx pour xx xxxxxxxxx xxxxxxxx
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Xxxxx Nákazová xxxxxxx Doba platnosti, xxxx Xxxxx, xxxxxx x xxxxxxx Místo xxx xxxxxxxx kolku
v xxxxxx x xxxxx xxxxxx veterinárního xxxxxx
xxxxxxxxxxx xxxxxx
xxxxxxxxxxx xxxxxx
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Xxxxx Xxxxx X xxxxxx průkazu xxxx je xxxxxxxxx Xxxxxxx x xxxxxx xxxxxxxxxxxxx xxxxxx
Xxxx Place xxxxxxxxxx xxxxxxxxxxx xxxxxxxxx xxxxx: Xxxx, xxxxxxxxx xxx stamp xx xxxxxxxxxxxx
Xxxx To xxxx xxxxxxxx is xxxxxxxx xxxxxxxxxx Nom, signature xx cachet du xxxxxxxxxxx
xxxxxxxxxx xxxxxxxxxxx No
Le xxxxxxxx xxx xxxxxxxxxx xxx xxxxxxxxxx
xxxxxxxxx xxxxxxxx Xx
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