Příloha č. 11 x vyhlášce x. 357/2001 Xx.
XXXX XXXXXXX XXXX
Xxxxx x majiteli
1. Xxx xxxxxxx je xxxxxx xxxxxxxxxxx xxxx xxxxxxx se xxxxxx xxxxxxxxxxxx jeho majitele.
2. Xxx xxxxx xxxxxxxx xxxx xxx průkaz xxxx xx nejdříve xxxxxx xxxxxxxxx xxxxxxxxxx x uvedením) xxxxx x adresy xxxxxx xxxxxxxx x xxxxxxxxxxxxxx xxxxx.
3. Xxxxx xx xxx xxxx xxx xxxxxxx majitele, xxxx xx x xxxxxxx xxxxxxxxxxx, musí xxx x xxxxxxx uvedeno xxxxx a xxxxxx xxxxxxxxxxx xxxxx odpovědné xx xxxx. Pokud xxxx majitelé různých xxxxxxxx xxxxxxxxxxxxx, musí xxxxx xxxxxx xxxxxxxxxxx xxxx.
4. Jestliže Xxxxxxxxxxx xxxxxxxx xxxxxxxx xxxxxxx xxxxxxxx xxxx Xxxxxxx xxxxxxxxx xxxxxxxx, musí xxx xxxxxxxxxxx xxxx xxxxxxxxx xx xxxx xxxxxxx xxxxxxx.
Xxxxxxx of xxxxxxxxx
1. For competitive xxxxxxxx, xxx xxxxxxxxxxx xx xxx xxxxx xx that xx xxx xxxxx.
2. On xxxxxx xx xxxxxxxxx xxx passport must xxxxxxxxxxx xx xxxxxx xxxx xxx xxxxxxx xxxxxxxxxxxx, association xx xxxxxxxx agency, giving xxx xxxx and xxxxxxx xx xxx xxx owner, xxx xxxxxxxxxxxx and forwarding xx the new xxxxx.
3. Xx xxxxx xx xxxx xxxx xxx owner or xxx xxxxx xx xxxxx by x xxxxxxx, xxxx xxx xxxx xx the xxxxxxxxxx responsible xxx xxx horse xxxx xx xxxxxxx xx xxx xxxxxxxx xxxxxxxx xxxx xxx xxxxxxxxxxx. Xx xxx xxxxxx xxx xx xxxxxxxxx xxxxxxxxxxxxx, xxxx xxxx xx xxxxxxxxx xxx xxxxxxxxxxx xx xxx xxxxx.
4. When xxx Xxxxxxxxxx xxxxxxxx xxxxxxxxxxxxxx xxxxxxxx xxx leasing xx x xxxxx xx x national xxxxxxxxxx xxxxxxxxxx, xxx xxxxxxx of these xxxxxxxxxxxx must be xxxxxxxx xx xxx xxxxxxxx xxxxxxxxxx xxxxxxxxxx xxxxxxxxx.
Xxxxxxx xx xxxxx xx xxxxxxxxx
1. Xxxx xxx xxxxxxxxxxxx, xx xxxxxxxxxxx xx xxxxxx xxx celle xxx xxx xxxxxxxxxxxx.
2. Xx xxx xx xxxxxxxxxx xx propriétaire, xx xxxxxxxxx xxxx xxxx xxxxxxxxxxxxx xxxxxx auprés xx x´xxxxxxxxxxxx, l´association xx le xxxxxxx xxxxxxxx x´xxxxx délivré xxxx le nom xx l´adresse du xxxxxxx propriétaire xxxx xx le lui xxxxxxxxxxx xxxxx réenregistrement.
3. X´xx x a xxxx x´xx xxxxxxxxxxxx xx xx le xxxxxx appartient x xxx société, le xxx de xx xxxxxxxx xxxxxxxxxxx xxxx xx xxxxxx xxxx xxxx xxxxxxx xxxx xx xxxxxxxxx ainsi xxx sa nationalité. Xx les xxxxxxxxxxxxx xxxx xx nationalités xxxxxxxxxxx, xxx doivent xxxxxxxx la xxxxxxxxxxx xx xxxxxx.
4. Xxxxxxx xx Fédération xxxxxxxx xxxxxxxxxxxxxx approuve la xxxxxxxx x´xx cheval xxx une Xxxxxxxxxx xxxxxxxx xxxxxxxxx, les xxxxxxx xx xxx xxxxxxxxxxxx xxxxxxx xxxx xxxxxxxxxxx par xx Xxxxxxxxxx xxxxxxxx xxxxxxxxx xxxxxxxxxx.
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Xxxxx registrace Xxxxx xxxxxxxx Xxxxxx xxxxxxxx Xxxxxx příslušnost Xxxxxx xxxxxxxx Razítko příslušné
příslušné xxxxxxxxxx Name xx xxxxx Address xx xxxxx xxxxxxxx Xxxxxxxxx xx xxxxx xxxxxxxxxx x xxxxxx
Xxxx xx xxxxxxxxxxxx, Xxx xx Xxxxxxx xx Xxxxxxxxxxx xx owner Xxxxxxxxx xx Xxxxxxxxxxxx,
xx xxx xxxxxxxxxxxx, propriétaire xxxxxxxxxx Xxxxxxxxxxx xx xxxxxxxxxxxx xxxxxxxxxxx xx
xxxxxxxxxxx, or Xxxxxxxxxxx du xxxxxxxx xxxxxx xxxxx
xxxxxxxx agency xxxxxxxxxxxx xxx xxxxxxxxx
Xxxx x´xxxxxxxxxxxxxx Xxxxxx xx x´xxxxxx-,
xxx x´xxxxxxxxxxxx, xxxxxx, xxxxxxxxxxx
x´xxxxxxxxxxx xx xx xx xxxxxxx xxxxxxxx
xxxxxxx xxxxxxxx xx signature
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Pouze xxxxxxx xxxx
Xxxxxx x xxxxxxxx
Xxxxx xxxxxxxx xxxx xxxx xxx xxxxxxx x xxxxxx xxxxxxx x xxxx uvedené xxxxxxx x xxxxxxxxx xxxxxx, xxxxxxxx x xxxxxxxx xxxxxxxxxxxxx lékaře.
Equine xxxxxxxx only
Vaccination xxxxxx
Xxxxxxx xx xxxxx xxxxxxxxxxx xxxxx xxx xxxxx xxxxxxxxx must be xxxxxxx xxxxxxx xxx xx xxxxxx, xxx xxxxxxxxx with xxx xxxx xxx xxxxxxxxx xx xxxxxxxxxxxx.
Xxxxxx équine xxxxxxxxx
Xxxxxxxxxxxxxx des xxxxxxxxxxxx
Xxxxx xxxxxxxxxxx xxxxx xxx xx xxxxxx xxxx xxxx portée xxxx xx cadre xx-xxxxxxx xx facon lisible xx xxxxxxx xxxx xx nom et xx xxxxxxxxx xx xxxxxxxxxxx.
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Xxxxx Xxxxx Xxxx Xxxxxxx Jméno, xxxxxx x razítko
Date Xxxxx Xxxxxxx Xxxxxxx veterinárního xxxxxx
Xxxx Xxxx Vaccin Xxxx, signature xxx xxxxx of
_________________________ xxxxxxxxxxxx
Xxxxx Xxxxx série Nom, xxxxxxxxx et cachet xx
Xxxx Xxxxx xxxxxx xxxxxxxxxxx
Xxx Xxxxxx xx xxx
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Xxxxxxxx xxxxxxxxxx xxxx xxxxxxxxx x tomto xxxxxxx
Xxxxxxxx xxxxxxxxxx xxxx xx zpravidla xxxxxxxxxxxx xxx xxxxxxxxx, xxxxxxxxx xx veterinárních xxxxxxxxxxx. Xxxxxxxxx xxxx xxxxxx xxxxxxx, xx popis xxxxxxxxxxxx koně xx x souladu s xxxxxxxxx xxxxxxxxxxx xxxxxxxx xx xxxxxxxxx xxxxxx.
Xxxxxxxxxxxxxx xx the xxxxx xxxxxxxxx xx xxxx xxxxxxxxx
Xxx xxxxxxxx xx xxx horse must xx checked xxxx xxxx xxxx xx xxxxxxxx xx xxxxx xxx xxxxxxxxxxx xxx xxxxxxxxx that it xxxxxxxx xxxx xxx xxxxxxxxxxx xxxxx xx xxx xxxxxxx xxxx xx xxx passport.
Controles x´xxxxxxxx xx cheval xxxxxx xxxx xx xxxxxxxxx
X´xxxxxxxx xx cheval xxxx xxxx xxxxxxxxx xxxxxx xxxx xxx xxx xxxx xx xxxxxxxxxx x´xxxxxxx : xxxxxx xxxxx xxxx xxxxxxxx xxx xx xxxxxxxxxxx du cheval xxxxxxxx xxx xxxxxxxx x celui xx xx xxxx xx xxxxxxxxxxx.
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Xxxxx xxxxxxxx (svod, Xxxxx, xxxxxx x xxxxxx osoby xxxxxxxxx xxxxxxxxx
Xxxxx Xxxx x xxxx xxxxxxxxx apod.) Xxxxxxxxx, xxxx (xxxxxxx) xxx xxxxxx xx xxxxxxxx
Xxxx Xxxx and Xxxxxxx xx control (xxxxx, xxxxxx xxxxxxxxx xxx identification
country certificate, xxx.) Signature, nom xx capitales xx xxxxxxx de xx
Xxxxx xx xxxx Xxxxx xx xxxxxxxx (concours, xxxxxxxx ayant vérifié x´xxxxxxxx
xxxxxxxxxx xxxxxxxxx, xxx.)
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Xxxx xxxxxx než xxxxxxxxx xxxx
Xxxxxx xxxxxxxx
Xxxxx xxxxxxxx xxxx xxxx xxx xxxxxxx x xxxxxx xxxxxxx x níže xxxxxxx tabulce a xxxxxxxxx jménem, xxxxxxxx x podpisem veterinárního xxxxxx.
Xxxxxxxx xxxxx than xxxxxx xxxxxxxxx
Xxxxxxxxxxx xxxxxx
Xxxxxxx xx xxxxx xxxxxxxxxxx xxxxx the xxxxx xxxxxxxxx xxxx be xxxxxxx xxxxxxx xxx xx xxxxxx, and xxxxxxxxx xxxx the xxxx and xxxxxxxxx xx xxxxxxxxxxxx.
Xxxxxxxx xxxxxx xxx xx grippe xxxxxx
Xxxxxxxxxxxxxx des xxxxxxxxxxxx
Xxxxx xxxxxxxxxxx xxxxx xxx xx xxxxxx xxxx xxxx xxxxxx xxxx xx xxxxx ci-dessous xx xxxxx xxxxxxx xx précise avec xx xxx xx xx xxxxxxxxx du xxxxxxxxxxx.
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Xxxxxxx/Xxxxxxx/Xxxxxx Jméno, xxxxxx x razítko xxxxxxxxxxxxx
Xxxxx Xxxxx Xxxx xxxxxx
Xxxx Xxxxx Xxxxxxx _________________________________ Xxxx, xxxxxxxxx xxx xxxxx xx
Xxxx Pays Xxxxx Xxxxx xxxxx Xxxxxx(x) veterinarian
Name Xxxxx xxxxxx Xxxxxxx(x) Xxx, xxxxxxxxx xx cachet xx xxxxxxxxxxx
Xxx Xxxxxx xx lot Xxxxxxx(x)
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Xxxxxxxxx xxxxxxxxx provedené xxxxxxxxxxxxx xxxxxxxxxx
Xxxxxxxx xxxxx vyšetření, xxxxxxxxxxx xx xxxxxxxx xxxxx xxxxxxxxxxx xxxx xxxxxxxxxx xxxxxxxxxx xxxxxx xxxxxxxxxxx xxxxxxx země, xxxx xxx xxxxx x podrobně xxxxxxx xxxxxxxxxxx, který xxxxxxxxxxxx xxxxxxxx xxxxxxxxxx xxxxxxxxx.
Xxxxxxxxxx xxxxxx xxxx
Xxx xxxxxx xx xxxxx xxxx xxxxxxx xxx for x xxxxxxxxxxxxx xxxxxxx xx x veterinarian xx a xxxxxxxxxx xxxxxxxxxx xx xxx xxxxxxxxxx veterinary service xx xxx country xxxx be entered xxxxxxx and xx xxxxxx xx xxx xxxxxxxxxxxx acting on xxxxxx xx the xxxxxxxxx requesting the xxxx.
Xxxxxxxxx xxxxxxxxxx effectués xxx xxx xxxxxxxxxxxx
Xx xxxxxxxx de xxxx xxxxxxxx effectué xxx xx xxxxxxxxxxx xxxx xxx maladie xxxxxxxxxxxxx xx xxx xx xxxxxxxxxxx xxxxx xxx xx xxxxxxx vétérinaire xxxxxxxxxxxxxx du pays xxxx xxxx noté xxxxxxxxxx et xx xxxxxxx par xx xxxxxxxxxxx xxx représente x´xxxxxxxx xxxxxxxxx xx xxxxxxxx.
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Xxxxxxxxxx xxxxxx Druh xxxxxxxxx Xxxxxxxx xxxxxxxxx Xxxxx protokolu Xxxxxxxxxxxx xxxxxx- Jméno, xxxxxx x
Xxxxx Transmissible Xxxx xx xxxx Xxxxxx xx xxxx Xxxxxx xxxxxx toř, xxxxx xxxxxxxxxxx razítko veterinárního
Date xxxxxxx xxxxxx xxx Xxxxxx de Xxxxxxxx xx Xxxxxx xx xxxxxx xxxxxx
Xxxxxxxx x´xxxxxx x´xxxxxx xxxxxxxxx Official xxxxxxxxxx xx Name, xxxxxxxxx
xxxxxxxxxxxxxx which xxxxxx xx xxxx xxx xxxxx xx
xxxxxxxxxx Xxxxxxxxxxx xxxxxxxx xxxxxxxxxxxx
x´xxxxxxx xx Xxx, signature et
prélévement xxxxxx xx
xxxxxxxxxxx
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Xxxxxxxx údaje xxxx
1) Xxxxxxxxxxxxx xxxxx xxxx
Xxxxxxxxxxxxxx Xx
Xx d´identification
2) Xxxxx
Xxxx
Xxx
3) Xxxxxxx
Xxx
Xxxx
4) Barva
Colour
Robe
5) Xxxxxxx
Xxxxx
Xxxx
6) Xxxx
Xxxx
Xxxx
7x) Xxxxx 7x) Xxxx xxxxx
Xxx xx
Xxxx xxx
8) Xxxxx xxxxxxxx
Xxxx xx foaling
Date xx xxxxxxxxx
9) Xxxxx xxxxxxxx
Xxxxx where bred
Lieu x´xxxxxxx
10) Chovatel(é)
Breeder(s)
Naisseur(s)
11) Xxxxxxxxx xxx
xxxxxxxxx xx
xxxxxx xx
- Xxxxx xxxxxxxxxxx orgánu
Name xx the xxxxxxxxx xxxxxxxxx
Xxx de l´autorité xxxxxxxxx
- Xxxxxx
Xxxxxxx
Xxxxxxx
- Xxxxxxx
Xxxxxxxxx Xx
Xxxxxxxx xxxxx
- Fax
Fax xxxxxx
X de télécopie
- Xxxxxx
(xxxxxxx písmeny xxxxx x xxxxxx xxxxxxxxxxx)
Xxxxxxxxx
(Xxxx xx xxxxxxx letters xxx xxxxxxxx xx xxxxxxxxx)
Xxxxxxxxx
(xxx xx xxxxxxx xxxxxxxxx xx xxxxxxx xx xxxxxxxxxx)
- Xxxxxxx
Xxxxx
Xxxxxx
12) Xxxxxxxx xxxxx
Xxxxxxxx popis
13) Xxxxx pod xxxxxx
Xxxxxxxxxxx xxxxx xxxx dam xx
Xxxxxxxxxxx xxxxxx xxxx xx mére par
a) Xxxxx
Xxxx
Xxxx
x) Xxxx xxxxxx xxxxxxxxx
Xxxxxxx X
Xxx. X
x) Xxxxx xxxxxx končetina
Foreleg X
Xxx. X
x) Xxxx xxxxx xxxxxxxxx
Xxxxxxx L
Post X
x) Pravá xxxxx xxxxxxxxx
Xxxxxxx R
Post D
f) Xxxx
Xxxx
Xxxxx
x) Xxxxxxx
Xxxxxxxx
Xxxxxxx
x) Xxx
Xx
Xx
14) Xxxxxx x xxxxxxx xxxxxxxxxxx orgánu (xxxxxxx xxxxxxx jméno xxxxxxxxxxx)
Xxxxxxxxx xxx xxxxx of xxx competent xxxxxxxxx (xxxx xx xxxxxxxxx xx capital xxxxxxx)
Xxxxxxxxx xx xxxxxx xx xxxxxxxx competente (xxx xx xxxxxxxxxx en xxxxxxx capitales)
Potvrzení xxxxxxxxxxxxx xxxxxx o xxxxxxxxxx xxxxx x nákazové xxxxxxx x xxxxx
Xxxxxxxxxx xxxxxxxxxxxxx for xxxxxxxxxx xxxxxxxxx/Xxxxxxxxxx xxxxxxxxx pour xx transport xxxxxxxx
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Xxxxx Xxxxxxxx xxxxxxxxxx Xxxxxxxx xxxxxxx Xxxx platnosti, xxxx vydání Xxxxx, xxxxxx x xxxxxxx
xxxxxxxxx xxxx v chovu x xxxxx xxxxxx xxxxxxxxxxxxx xxxxxx
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Xxxxxxxxx příslušného xxxxxx xxxxxxxxxxx xxxxxx x xxxxxxxx situaci x okrese
Veterinary xxxxxxxxxxxxx xxx xxxxxxxxxx xxxxxxxxx/Xxxxxxxxxx xxxxxxxxx pour xx xxxxxxxxx xxxxxxxx
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Xxxxx Xxxxxxxx xxxxxxx Doba xxxxxxxxx, xxxx Xxxxx, xxxxxx x xxxxxxx Místo xxx nalepení xxxxx
x xxxxxx x místo xxxxxx veterinárního xxxxxx
xxxxxxxxxxx xxxxxx
xxxxxxxxxxx správy
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Datum Místo X xxxxxx xxxxxxx xxxx xx xxxxxxxxx Xxxxxxx x xxxxxx xxxxxxxxxxxxx lékaře
Date Xxxxx xxxxxxxxxx xxxxxxxxxxx xxxxxxxxx xxxxx: Xxxx, signature xxx stamp xx xxxxxxxxxxxx
Xxxx Xx xxxx xxxxxxxx is attached xxxxxxxxxx Nom, xxxxxxxxx xx xxxxxx du xxxxxxxxxxx
xxxxxxxxxx certificate Xx
Xx xxxxxxxx est xxxxxxxxxx xxx certificat
sanitaire xxxxxxxx Xx
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