Příloha x. 11 x vyhlášce x. 357/2001 Sb.
VZOR PRŮKAZU XXXX
Xxxxx o xxxxxxxx
1. Xxx xxxxxxx xx xxxxxx xxxxxxxxxxx koně xxxxxxx xx státní xxxxxxxxxxxx xxxx majitele.
2. Xxx xxxxx xxxxxxxx xxxx xxx xxxxxx xxxx xx xxxxxxxx xxxxxx xxxxxxxxx xxxxxxxxxx x xxxxxxxx) xxxxx x adresy nového xxxxxxxx x zaregistrování xxxxx.
3. Pokud xx xxx xxxx než xxxxxxx majitele, xxxx xx x majetku xxxxxxxxxxx, xxxx xxx x průkazu xxxxxxx xxxxx x xxxxxx xxxxxxxxxxx osoby xxxxxxxxx xx xxxx. Pokud xxxx xxxxxxxx xxxxxxx xxxxxxxx příslušenství, xxxx xxxxx xxxxxx xxxxxxxxxxx xxxx.
4. Xxxxxxxx Xxxxxxxxxxx xxxxxxxx federace xxxxxxx xxxxxxxx koně Národní xxxxxxxxx xxxxxxxx, xxxx xxx podrobnosti xxxx xxxxxxxxx na této xxxxxxx zapsány.
Details of xxxxxxxxx
1. For xxxxxxxxxxx xxxxxxxx, xxx xxxxxxxxxxx xx the xxxxx xx xxxx xx xxx xxxxx.
2. Xx xxxxxx xx xxxxxxxxx xxx xxxxxxxx xxxx xxxxxxxxxxx xx xxxxxx xxxx xxx issuing xxxxxxxxxxxx, xxxxxxxxxxx xx xxxxxxxx xxxxxx, xxxxxx xxx name xxx xxxxxxx xx the xxx owner, xxx xxxxxxxxxxxx xxx xxxxxxxxxx xx xxx new xxxxx.
3. Xx xxxxx xx xxxx xxxx xxx xxxxx xx xxx xxxxx is xxxxx xx x xxxxxxx, then the xxxx xx xxx xxxxxxxxxx xxxxxxxxxxx for xxx horse xxxx xx xxxxxxx xx xxx xxxxxxxx xxxxxxxx xxxx xxx xxxxxxxxxxx. Xx the xxxxxx xxx of xxxxxxxxx xxxxxxxxxxxxx, xxxx xxxx xx determine the xxxxxxxxxxx xx xxx xxxxx.
4. When xxx Xxxxxxxxxx xxxxxxxx internationale xxxxxxxx the xxxxxxx xx x xxxxx xx x national xxxxxxxxxx xxxxxxxxxx, the xxxxxxx xx xxxxx xxxxxxxxxxxx xxxx xx xxxxxxxx xx xxx xxxxxxxx xxxxxxxxxx federation xxxxxxxxx.
Xxxxxxx de droit xx propriété
1. Xxxx xxx xxxxxxxxxxxx, xx xxxxxxxxxxx xx xxxxxx xxx xxxxx xxx xxx xxxxxxxxxxxx.
2. En xxx xx xxxxxxxxxx xx propriétaire, le xxxxxxxxx xxxx xxxx xxxxxxxxxxxxx xxxxxx auprés xx x´xxxxxxxxxxxx, x´xxxxxxxxxxx xx xx xxxxxxx xxxxxxxx l´ayant délivré xxxx xx xxx xx x´xxxxxxx xx xxxxxxx propriétaire xxxx xx xx xxx xxxxxxxxxxx xxxxx xxxxxxxxxxxxxxxx.
3. X´xx y a xxxx x´xx propriétaire xx xx xx xxxxxx appartient á xxx société, le xxx de xx xxxxxxxx xxxxxxxxxxx xxxx xx xxxxxx xxxx xxxx xxxxxxx xxxx xx xxxxxxxxx ainsi xxx xx xxxxxxxxxxx. Xx les xxxxxxxxxxxxx xxxx xx xxxxxxxxxxxx xxxxxxxxxxx, xxx xxxxxxx xxxxxxxx la nationalité xx xxxxxx.
4. Lorsque xx Xxxxxxxxxx xxxxxxxx xxxxxxxxxxxxxx xxxxxxxx xx xxxxxxxx x´xx xxxxxx xxx xxx Fédération xxxxxxxx xxxxxxxxx, xxx xxxxxxx xx xxx xxxxxxxxxxxx doivent xxxx xxxxxxxxxxx par la Xxxxxxxxxx xxxxxxxx nationale xxxxxxxxxx.
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Xxxxx xxxxxxxxxx Xxxxx xxxxxxxx Xxxxxx xxxxxxxx Xxxxxx xxxxxxxxxxx Xxxxxx xxxxxxxx Xxxxxxx příslušné
příslušné xxxxxxxxxx Xxxx xx xxxxx Xxxxxxx xx xxxxx majitele Xxxxxxxxx xx xxxxx xxxxxxxxxx x podpis
Date of xxxxxxxxxxxx, Xxx xx Xxxxxxx xx Xxxxxxxxxxx xx owner Xxxxxxxxx xx Xxxxxxxxxxxx,
xx the xxxxxxxxxxxx, propriétaire xxxxxxxxxx Xxxxxxxxxxx xx xxxxxxxxxxxx xxxxxxxxxxx or
association, or Xxxxxxxxxxx du xxxxxxxx xxxxxx xxxxx
xxxxxxxx agency xxxxxxxxxxxx xxx signature
Date x´xxxxxxxxxxxxxx Xxxxxx de x´xxxxxx-,
xxx l´organisation, xxxxxx, xxxxxxxxxxx
x´xxxxxxxxxxx ou xx xx xxxxxxx xxxxxxxx
xxxxxxx xxxxxxxx xx xxxxxxxxx
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Xxxxx xxxxxxx koní
Záznam x xxxxxxxx
Xxxxx xxxxxxxx xxxx xxxx xxx xxxxxxx x přesně zapsáno x xxxx uvedené xxxxxxx x xxxxxxxxx xxxxxx, xxxxxxxx a xxxxxxxx xxxxxxxxxxxxx lékaře.
Equine xxxxxxxx xxxx
Xxxxxxxxxxx xxxxxx
Xxxxxxx xx xxxxx xxxxxxxxxxx xxxxx the horse xxxxxxxxx xxxx xx xxxxxxx xxxxxxx and xx xxxxxx, xxx xxxxxxxxx with the xxxx xxx xxxxxxxxx xx xxxxxxxxxxxx.
Xxxxxx xxxxxx xxxxxxxxx
Xxxxxxxxxxxxxx xxx xxxxxxxxxxxx
Xxxxx xxxxxxxxxxx xxxxx xxx xx xxxxxx doit xxxx xxxxxx dans xx xxxxx ci-dessous xx xxxxx xxxxxxx xx xxxxxxx xxxx xx xxx xx xx signature xx xxxxxxxxxxx.
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Xxxxx Místo Země Xxxxxxx Xxxxx, xxxxxx x xxxxxxx
Xxxx Xxxxx Xxxxxxx Xxxxxxx veterinárního xxxxxx
Xxxx Xxxx Xxxxxx Xxxx, signature and xxxxx xx
_________________________ veterinarian
Název Xxxxx xxxxx Xxx, xxxxxxxxx xx xxxxxx xx
Xxxx Xxxxx xxxxxx xxxxxxxxxxx
Xxx Xxxxxx xx xxx
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Xxxxxxxx totožnosti xxxx xxxxxxxxx v xxxxx xxxxxxx
Xxxxxxxx xxxxxxxxxx xxxx xx zpravidla xxxxxxxxxxxx xxx xxxxxxxxx, xxxxxxxxx xx xxxxxxxxxxxxx xxxxxxxxxxx. Xxxxxxxxx této xxxxxx xxxxxxx, že xxxxx xxxxxxxxxxxx xxxx xx x souladu s xxxxxxxxx znázorněním uvedeným xx příslušné straně.
Identification xx xxx xxxxx xxxxxxxxx xx xxxx xxxxxxxxx
Xxx xxxxxxxx xx xxx xxxxx xxxx xx xxxxxxx xxxx xxxx this is xxxxxxxx xx xxxxx xxx regulations xxx xxxxxxxxx xxxx xx xxxxxxxx with xxx xxxxxxxxxxx given on xxx diagram page xx xxx passport.
Controles x´xxxxxxxx xx xxxxxx xxxxxx xxxx xx xxxxxxxxx
X´xxxxxxxx xx xxxxxx xxxx xxxx controlée xxxxxx xxxx que xxx xxxx xx xxxxxxxxxx l´exigent : xxxxxx xxxxx xxxx xxxxxxxx que le xxxxxxxxxxx xx xxxxxx xxxxxxxx est xxxxxxxx x xxxxx de xx xxxx xx xxxxxxxxxxx.
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Xxxxx kontroly (xxxx, Xxxxx, podpis a xxxxxx xxxxx xxxxxxxxx xxxxxxxxx
Xxxxx Xxxx x xxxx xxxxxxxxx xxxx.) Xxxxxxxxx, xxxx (xxxxxxx) xxx status of xxxxxxxx
Xxxx Town and Xxxxxxx xx control (xxxxx, health xxxxxxxxx xxx identification
country xxxxxxxxxxx, xxx.) Xxxxxxxxx, xxx xx capitales xx xxxxxxx de la
Ville xx pays Motif xx controle (xxxxxxxx, xxxxxxxx ayant vérifié x´xxxxxxxx
xxxxxxxxxx sanitaire, etc.)
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Jiné xxxxxx xxx xxxxxxxxx xxxx
Xxxxxx xxxxxxxx
Xxxxx xxxxxxxx xxxx xxxx xxx xxxxxxx x xxxxxx xxxxxxx x xxxx xxxxxxx xxxxxxx x xxxxxxxxx jménem, xxxxxxxx x podpisem veterinárního xxxxxx.
Xxxxxxxx xxxxx than xxxxxx xxxxxxxxx
Xxxxxxxxxxx xxxxxx
Xxxxxxx xx every xxxxxxxxxxx xxxxx xxx xxxxx xxxxxxxxx xxxx xx xxxxxxx xxxxxxx and xx detail, and xxxxxxxxx xxxx xxx xxxx xxx xxxxxxxxx xx xxxxxxxxxxxx.
Xxxxxxxx xxxxxx xxx la xxxxxx xxxxxx
Xxxxxxxxxxxxxx xxx xxxxxxxxxxxx
Xxxxx xxxxxxxxxxx subie par xx xxxxxx xxxx xxxx xxxxxx xxxx xx xxxxx ci-dessous xx facon lisible xx précise xxxx xx xxx xx xx xxxxxxxxx du xxxxxxxxxxx.
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Xxxxxxx/Xxxxxxx/Xxxxxx Jméno, xxxxxx x xxxxxxx xxxxxxxxxxxxx
Xxxxx Xxxxx Xxxx lékaře
Date Xxxxx Xxxxxxx _________________________________ Xxxx, xxxxxxxxx xxx xxxxx of
Lieu Xxxx Xxxxx Xxxxx xxxxx Xxxxxx(x) veterinarian
Name Xxxxx xxxxxx Xxxxxxx(x) Nom, xxxxxxxxx et cachet xx vétérinaire
Nom Numéro xx lot Maladie(s)
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Zdravotní xxxxxxxxx xxxxxxxxx xxxxxxxxxxxxx xxxxxxxxxx
Xxxxxxxx xxxxx xxxxxxxxx, xxxxxxxxxxx xx xxxxxxxx xxxxx xxxxxxxxxxx xxxx xxxxxxxxxx xxxxxxxxxx státní xxxxxxxxxxx xxxxxxx xxxx, xxxx xxx xxxxx x podrobně zapsány xxxxxxxxxxx, který reprezentuje xxxxxxxx xxxxxxxxxx xxxxxxxxx.
Xxxxxxxxxx xxxxxx xxxx
Xxx xxxxxx xx every xxxx xxxxxxx xxx for x xxxxxxxxxxxxx xxxxxxx xx a xxxxxxxxxxxx xx x xxxxxxxxxx xxxxxxxxxx xx the xxxxxxxxxx xxxxxxxxxx xxxxxxx xx xxx xxxxxxx xxxx be xxxxxxx xxxxxxx xxx xx xxxxxx by xxx xxxxxxxxxxxx acting on xxxxxx xx xxx xxxxxxxxx xxxxxxxxxx xxx xxxx.
Xxxxxxxxx sanitaires xxxxxxxxx xxx des xxxxxxxxxxxx
Xx xxxxxxxx xx xxxx xxxxxxxx xxxxxxxx par xx xxxxxxxxxxx xxxx xxx xxxxxxx transmissible xx xxx un xxxxxxxxxxx xxxxx xxx xx xxxxxxx xxxxxxxxxxx xxxxxxxxxxxxxx xx xxxx xxxx xxxx xxxx xxxxxxxxxx xx xx xxxxxxx par xx xxxxxxxxxxx xxx représente x´xxxxxxxx xxxxxxxxx le xxxxxxxx.
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Xxxxxxxxxx nákazy Xxxx xxxxxxxxx Xxxxxxxx xxxxxxxxx Xxxxx protokolu Autorizovaná xxxxxx- Xxxxx, podpis x
Xxxxx Xxxxxxxxxxxxx Xxxx xx xxxx Xxxxxx xx test Xxxxxx xxxxxx xxx, xxxxx xxxxxxxxxxx xxxxxxx veterinárního
Date xxxxxxx xxxxxx xxx Xxxxxx xx Résultat xx Xxxxxx xx xxxxxx lékaře
Maladies x´xxxxxx x´xxxxxx xxxxxxxxx Xxxxxxxx xxxxxxxxxx xx Name, xxxxxxxxx
xxxxxxxxxxxxxx xxxxx xxxxxx xx xxxx and xxxxx xx
xxxxxxxxxx Xxxxxxxxxxx xxxxxxxx xxxxxxxxxxxx
x´xxxxxxx du Xxx, xxxxxxxxx xx
xxxxxxxxxxx xxxxxx xx
xxxxxxxxxxx
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Xxxxxxxx xxxxx xxxx
1) Xxxxxxxxxxxxx xxxxx xxxx
Xxxxxxxxxxxxxx Xx
Xx d´identification
2) Xxxxx
Xxxx
Xxx
3) Pohlaví
Sex
Sexe
4) Xxxxx
Xxxxxx
Xxxx
5) Xxxxxxx
Xxxxx
Xxxx
6) Xxxx
Xxxx
Xxxx
7x) Xxxxx 7x) Otec matky
Dam xx
Xxxx par
8) Xxxxx xxxxxxxx
Xxxx xx xxxxxxx
Xxxx xx xxxxxxxxx
9) Xxxxx xxxxxxxx
Xxxxx where bred
Lieu x´xxxxxxx
10) Chovatel(é)
Breeder(s)
Naisseur(s)
11) Xxxxxxxxx xxx
xxxxxxxxx on
validé xx
- Xxxxx xxxxxxxxxxx orgánu
Name xx the competent xxxxxxxxx
Xxx xx l´autorité xxxxxxxxx
- Xxxxxx
Xxxxxxx
Xxxxxxx
- Xxxxxxx
Xxxxxxxxx Xx
Xxxxxxxx phone
- Xxx
Xxx xxxxxx
X de xxxxxxxxx
- Xxxxxx
(xxxxxxx písmeny jméno x funkce xxxxxxxxxxx)
Xxxxxxxxx
(Xxxx xx xxxxxxx xxxxxxx xxx xxxxxxxx xx xxxxxxxxx)
Xxxxxxxxx
(xxx xx xxxxxxx xxxxxxxxx xx qualité xx xxxxxxxxxx)
- Xxxxxxx
Xxxxx
Xxxxxx
12) Xxxxxxxx popis
Grafický xxxxx
13) Xxxxx xxx xxxxxx
Xxxxxxxxxxx xxxxx xxxx xxx xx
Xxxxxxxxxxx xxxxxx sous xx xxxx par
a) Xxxxx
Xxxx
Xxxx
x) Xxxx přední xxxxxxxxx
Xxxxxxx L
Ant. G
c) Xxxxx přední končetina
Foreleg X
Xxx. D
d) Xxxx xxxxx xxxxxxxxx
Xxxxxxx L
Post X
x) Pravá zadní xxxxxxxxx
Xxxxxxx R
Post X
x) Xxxx
Xxxx
Xxxxx
x) Odznaky
Markings
Marques
h) Xxx
Xx
Xx
14) Xxxxxx x xxxxxxx xxxxxxxxxxx orgánu (xxxxxxx xxxxxxx jméno podepsaného)
Signature xxx xxxxx of xxx xxxxxxxxx authority (xxxx xx xxxxxxxxx xx xxxxxxx xxxxxxx)
Xxxxxxxxx xx xxxxxx xx xxxxxxxx competente (xxx xx signataire xx xxxxxxx xxxxxxxxx)
Xxxxxxxxx xxxxxxxxxxxxx xxxxxx x xxxxxxxxxx xxxxx x xxxxxxxx xxxxxxx x chovu
Veterinary xxxxxxxxxxxxx for xxxxxxxxxx xxxxxxxxx/Xxxxxxxxxx xxxxxxxxx pour xx xxxxxxxxx indigéne
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Datum Xxxxxxxx klinického Nákazová xxxxxxx Xxxx xxxxxxxxx, xxxx xxxxxx Xxxxx, xxxxxx x xxxxxxx
xxxxxxxxx xxxx x chovu x místo xxxxxx xxxxxxxxxxxxx lékaře
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Potvrzení xxxxxxxxxxx xxxxxx xxxxxxxxxxx xxxxxx x xxxxxxxx xxxxxxx x xxxxxx
Xxxxxxxxxx xxxxxxxxxxxxx xxx xxxxxxxxxx xxxxxxxxx/Xxxxxxxxxx xxxxxxxxx pour xx xxxxxxxxx xxxxxxxx
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Xxxxx Nákazová xxxxxxx Xxxx platnosti, xxxx Xxxxx, xxxxxx x razítko Xxxxx xxx nalepení kolku
v xxxxxx x xxxxx xxxxxx veterinárního lékaře
příslušného xxxxxx
xxxxxxxxxxx správy
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Datum Xxxxx X xxxxxx průkazu xxxx xx přiloženo Xxxxxxx a podpis xxxxxxxxxxxxx xxxxxx
Xxxx Xxxxx xxxxxxxxxx xxxxxxxxxxx xxxxxxxxx xxxxx: Xxxx, signature xxx xxxxx of xxxxxxxxxxxx
Xxxx Xx xxxx xxxxxxxx is xxxxxxxx xxxxxxxxxx Xxx, signature xx xxxxxx xx xxxxxxxxxxx
xxxxxxxxxx certificate No
Le xxxxxxxx xxx xxxxxxxxxx xxx certificat
sanitaire xxxxxxxx Xx
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