Příloha x. 11 x xxxxxxxx x. 357/2001 Sb.
VZOR XXXXXXX XXXX
Xxxxx o xxxxxxxx
1. Xxx xxxxxxx je xxxxxx xxxxxxxxxxx xxxx xxxxxxx xx xxxxxx xxxxxxxxxxxx xxxx majitele.
2. Xxx změně majitele xxxx xxx průkaz xxxx xx xxxxxxxx xxxxxx příslušné organizaci x xxxxxxxx) xxxxx x adresy xxxxxx xxxxxxxx x xxxxxxxxxxxxxx xxxxx.
3. Pokud xx xxx více než xxxxxxx xxxxxxxx, xxxx xx v xxxxxxx xxxxxxxxxxx, musí být x xxxxxxx uvedeno xxxxx x xxxxxx xxxxxxxxxxx xxxxx odpovědné xx xxxx. Xxxxx xxxx majitelé různých xxxxxxxx xxxxxxxxxxxxx, musí xxxxx xxxxxx xxxxxxxxxxx xxxx.
4. Xxxxxxxx Xxxxxxxxxxx xxxxxxxx xxxxxxxx xxxxxxx xxxxxxxx xxxx Xxxxxxx xxxxxxxxx xxxxxxxx, xxxx xxx xxxxxxxxxxx xxxx xxxxxxxxx xx této xxxxxxx xxxxxxx.
Xxxxxxx of xxxxxxxxx
1. Xxx xxxxxxxxxxx xxxxxxxx, xxx nationality xx xxx xxxxx xx that xx xxx xxxxx.
2. Xx xxxxxx of ownership xxx passport xxxx xxxxxxxxxxx xx lodged xxxx xxx issuing xxxxxxxxxxxx, xxxxxxxxxxx or xxxxxxxx xxxxxx, xxxxxx xxx name xxx xxxxxxx of xxx xxx xxxxx, for xxxxxxxxxxxx xxx xxxxxxxxxx xx xxx xxx xxxxx.
3. Xx xxxxx xx xxxx xxxx xxx xxxxx or xxx xxxxx xx xxxxx by x xxxxxxx, then xxx xxxx xx xxx xxxxxxxxxx xxxxxxxxxxx xxx xxx horse must xx xxxxxxx xx xxx xxxxxxxx xxxxxxxx xxxx xxx nationality. Xx xxx xxxxxx xxx of different xxxxxxxxxxxxx, xxxx have xx xxxxxxxxx xxx xxxxxxxxxxx xx xxx xxxxx.
4. Xxxx the Xxxxxxxxxx équestre xxxxxxxxxxxxxx xxxxxxxx xxx xxxxxxx xx a xxxxx xx x xxxxxxxx xxxxxxxxxx federation, the xxxxxxx of these xxxxxxxxxxxx xxxx xx xxxxxxxx by the xxxxxxxx xxxxxxxxxx xxxxxxxxxx xxxxxxxxx.
Xxxxxxx de xxxxx xx propriété
1. Xxxx xxx compétitions, xx xxxxxxxxxxx du xxxxxx xxx xxxxx den xxx xxxxxxxxxxxx.
2. En xxx xx xxxxxxxxxx xx xxxxxxxxxxxx, xx xxxxxxxxx doit xxxx xxxxxxxxxxxxx xxxxxx auprés xx l´organisation, x´xxxxxxxxxxx xx xx xxxxxxx xxxxxxxx x´xxxxx xxxxxxx xxxx xx xxx xx x´xxxxxxx xx xxxxxxx xxxxxxxxxxxx xxxx xx le xxx xxxxxxxxxxx xxxxx réenregistrement.
3. X´xx x a xxxx d´un xxxxxxxxxxxx xx xx xx xxxxxx xxxxxxxxxx x xxx xxxxxxx, xx xxx de xx xxxxxxxx xxxxxxxxxxx pour xx xxxxxx xxxx xxxx xxxxxxx xxxx xx xxxxxxxxx xxxxx xxx xx xxxxxxxxxxx. Xx les propriétaires xxxx xx xxxxxxxxxxxx xxxxxxxxxxx, xxx doivent xxxxxxxx xx nationalité xx xxxxxx.
4. Xxxxxxx xx Xxxxxxxxxx xxxxxxxx xxxxxxxxxxxxxx xxxxxxxx xx xxxxxxxx x´xx xxxxxx xxx une Xxxxxxxxxx xxxxxxxx nationale, xxx xxxxxxx xx ces xxxxxxxxxxxx doivent xxxx xxxxxxxxxxx xxx la Xxxxxxxxxx équestre nationale xxxxxxxxxx.
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Xxxxx xxxxxxxxxx Xxxxx xxxxxxxx Adresa xxxxxxxx Xxxxxx příslušnost Xxxxxx xxxxxxxx Razítko xxxxxxxxx
xxxxxxxxx xxxxxxxxxx Name xx xxxxx Xxxxxxx xx xxxxx xxxxxxxx Xxxxxxxxx xx xxxxx organizace x xxxxxx
Xxxx xx xxxxxxxxxxxx, Xxx du Xxxxxxx xx Xxxxxxxxxxx xx xxxxx Xxxxxxxxx xx Xxxxxxxxxxxx,
xx xxx xxxxxxxxxxxx, xxxxxxxxxxxx popriétair Xxxxxxxxxxx xx propriétaire xxxxxxxxxxx xx
xxxxxxxxxxx, xx Xxxxxxxxxxx xx official xxxxxx stamp
official xxxxxx xxxxxxxxxxxx xxx xxxxxxxxx
Xxxx x´xxxxxxxxxxxxxx Xxxxxx de x´xxxxxx-,
xxx x´xxxxxxxxxxxx, sation, xxxxxxxxxxx
x´xxxxxxxxxxx ou xx xx xxxxxxx xxxxxxxx
xxxxxxx xxxxxxxx xx signature
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Pouze xxxxxxx xxxx
Xxxxxx x xxxxxxxx
Xxxxx očkování koně xxxx xxx čitelně x xxxxxx xxxxxxx x níže uvedené xxxxxxx a xxxxxxxxx xxxxxx, xxxxxxxx x xxxxxxxx veterinárního xxxxxx.
Xxxxxx xxxxxxxx only
Vaccination xxxxxx
Xxxxxxx xx xxxxx vaccination xxxxx xxx horse xxxxxxxxx xxxx xx xxxxxxx clearly xxx xx xxxxxx, and xxxxxxxxx xxxx xxx xxxx xxx xxxxxxxxx xx xxxxxxxxxxxx.
Xxxxxx xxxxxx xxxxxxxxx
Xxxxxxxxxxxxxx des xxxxxxxxxxxx
Xxxxx xxxxxxxxxxx xxxxx xxx xx cheval xxxx xxxx xxxxxx xxxx xx xxxxx xx-xxxxxxx xx xxxxx xxxxxxx xx xxxxxxx avec xx nom xx xx signature xx xxxxxxxxxxx.
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Xxxxx Místo Xxxx Xxxxxxx Xxxxx, podpis x razítko
Date Xxxxx Xxxxxxx Xxxxxxx veterinárního xxxxxx
Xxxx Pays Xxxxxx Xxxx, xxxxxxxxx xxx xxxxx xx
_________________________ veterinarian
Název Xxxxx série Xxx, xxxxxxxxx et xxxxxx xx
Xxxx Xxxxx number xxxxxxxxxxx
Xxx Xxxxxx du xxx
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Xxxxxxxx xxxxxxxxxx xxxx xxxxxxxxx x xxxxx xxxxxxx
Xxxxxxxx xxxxxxxxxx xxxx xx zpravidla xxxxxxxxxxxx xxx soutěžích, dostizích xx xxxxxxxxxxxxx xxxxxxxxxxx. Xxxxxxxxx této xxxxxx xxxxxxx, že xxxxx xxxxxxxxxxxx koně xx x xxxxxxx x xxxxxxxxx znázorněním xxxxxxxx xx xxxxxxxxx xxxxxx.
Xxxxxxxxxxxxxx xx xxx horse xxxxxxxxx xx xxxx xxxxxxxxx
Xxx xxxxxxxx xx xxx xxxxx xxxx xx xxxxxxx each xxxx xxxx xx xxxxxxxx by xxxxx xxx xxxxxxxxxxx and xxxxxxxxx xxxx xx xxxxxxxx xxxx xxx xxxxxxxxxxx xxxxx xx xxx diagram xxxx xx its xxxxxxxx.
Xxxxxxxxx x´xxxxxxxx xx cheval xxxxxx dans xx xxxxxxxxx
X´xxxxxxxx du xxxxxx xxxx etre xxxxxxxxx xxxxxx xxxx xxx xxx xxxx et xxxxxxxxxx l´exigent : xxxxxx xxxxx xxxx xxxxxxxx xxx le xxxxxxxxxxx du cheval xxxxxxxx xxx conforme x xxxxx xx xx xxxx xx xxxxxxxxxxx.
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Xxxxx xxxxxxxx (xxxx, Xxxxx, xxxxxx x xxxxxx xxxxx xxxxxxxxx xxxxxxxxx
Xxxxx Xxxx x xxxx xxxxxxxxx apod.) Xxxxxxxxx, name (printed) xxx status of xxxxxxxx
Xxxx Town and Xxxxxxx xx xxxxxxx (xxxxx, xxxxxx xxxxxxxxx xxx xxxxxxxxxxxxxx
xxxxxxx xxxxxxxxxxx, xxx.) Xxxxxxxxx, nom xx xxxxxxxxx et xxxxxxx xx xx
Xxxxx xx xxxx Xxxxx xx xxxxxxxx (concours, xxxxxxxx xxxxx vérifié x´xxxxxxxx
xxxxxxxxxx xxxxxxxxx, xxx.)
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Xxxx xxxxxx xxx xxxxxxxxx xxxx
Xxxxxx xxxxxxxx
Xxxxx xxxxxxxx xxxx musí být xxxxxxx x přesně xxxxxxx x níže xxxxxxx tabulce x xxxxxxxxx xxxxxx, xxxxxxxx x xxxxxxxx veterinárního xxxxxx.
Xxxxxxxx other xxxx xxxxxx xxxxxxxxx
Xxxxxxxxxxx xxxxxx
Xxxxxxx xx every vaccination xxxxx xxx xxxxx xxxxxxxxx xxxx xx xxxxxxx xxxxxxx xxx xx xxxxxx, and xxxxxxxxx xxxx the xxxx xxx signature xx veterinarian.
Maladies xxxxxx xxx xx grippe xxxxxx
Xxxxxxxxxxxxxx xxx xxxxxxxxxxxx
Xxxxx xxxxxxxxxxx subie xxx xx cheval doit xxxx xxxxxx dans xx xxxxx xx-xxxxxxx xx facon lisible xx précise xxxx xx xxx xx xx signature xx xxxxxxxxxxx.
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Xxxxxxx/Xxxxxxx/Xxxxxx Xxxxx, xxxxxx x xxxxxxx xxxxxxxxxxxxx
Xxxxx Xxxxx Xxxx xxxxxx
Xxxx Xxxxx Country _________________________________ Xxxx, xxxxxxxxx and xxxxx of
Lieu Xxxx Xxxxx Xxxxx série Xxxxxx(x) xxxxxxxxxxxx
Xxxx Batch xxxxxx Xxxxxxx(x) Xxx, xxxxxxxxx xx cachet xx xxxxxxxxxxx
Xxx Xxxxxx xx xxx Xxxxxxx(x)
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Xxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxxxxxxxxx xxxxxxxxxx
Xxxxxxxx xxxxx xxxxxxxxx, xxxxxxxxxxx na xxxxxxxx xxxxx xxxxxxxxxxx xxxx xxxxxxxxxx schválenou státní xxxxxxxxxxx xxxxxxx xxxx, xxxx xxx jasně x podrobně xxxxxxx xxxxxxxxxxx, xxxxx xxxxxxxxxxxx xxxxxxxx xxxxxxxxxx vyšetření.
Laboratory xxxxxx xxxx
Xxx xxxxxx xx xxxxx xxxx xxxxxxx xxx xxx x transmissible disease xx a xxxxxxxxxxxx xx a xxxxxxxxxx xxxxxxxxxx xx the xxxxxxxxxx xxxxxxxxxx service xx the country xxxx be xxxxxxx xxxxxxx xxx in xxxxxx by xxx xxxxxxxxxxxx xxxxxx xx xxxxxx of xxx xxxxxxxxx requesting xxx xxxx.
Xxxxxxxxx sanitaires effectués xxx des xxxxxxxxxxxx
Xx xxxxxxxx de xxxx xxxxxxxx effectué xxx xx xxxxxxxxxxx xxxx xxx xxxxxxx xxxxxxxxxxxxx xx par xx xxxxxxxxxxx xxxxx xxx xx service xxxxxxxxxxx xxxxxxxxxxxxxx xx xxxx xxxx xxxx xxxx xxxxxxxxxx et xx xxxxxxx xxx le xxxxxxxxxxx qui xxxxxxxxxx x´xxxxxxxx demandant le xxxxxxxx.
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Xxxxxxxxxx xxxxxx Xxxx xxxxxxxxx Výsledek xxxxxxxxx Xxxxx xxxxxxxxx Xxxxxxxxxxxx xxxxxx- Xxxxx, xxxxxx x
Xxxxx Xxxxxxxxxxxxx Xxxx xx xxxx Xxxxxx xx xxxx Xxxxxx xxxxxx xxx, xxxxx xxxxxxxxxxx razítko xxxxxxxxxxxxx
Xxxx xxxxxxx xxxxxx xxx Xxxxxx xx Xxxxxxxx xx Numéro xx xxxxxx xxxxxx
Xxxxxxxx x´xxxxxx x´xxxxxx xxxxxxxxx Official xxxxxxxxxx to Xxxx, xxxxxxxxx
xxxxxxxxxxxxxx which sample xx xxxx and xxxxx of
concernées Xxxxxxxxxxx xxxxxxxx xxxxxxxxxxxx
x´xxxxxxx xx Xxx, xxxxxxxxx xx
xxxxxxxxxxx xxxxxx xx
xxxxxxxxxxx
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Xxxxxxxx xxxxx xxxx
1) Identifikační xxxxx xxxx
Xxxxxxxxxxxxxx No
No x´xxxxxxxxxxxxxx
2) Xxxxx
Xxxx
Xxx
3) Xxxxxxx
Xxx
Xxxx
4) Xxxxx
Xxxxxx
Xxxx
5) Xxxxxxx
Xxxxx
Xxxx
6) Xxxx
Xxxx
Xxxx
7x) Xxxxx 7x) Xxxx xxxxx
Xxx xx
Xxxx xxx
8) Xxxxx xxxxxxxx
Xxxx of xxxxxxx
Xxxx xx naissance
9) Místo xxxxxxxx
Xxxxx xxxxx bred
Lieu x´xxxxxxx
10) Xxxxxxxx(x)
Xxxxxxx(x)
Xxxxxxxx(x)
11) Xxxxxxxxx xxx
xxxxxxxxx xx
xxxxxx xx
- Xxxxx xxxxxxxxxxx orgánu
Name xx xxx competent xxxxxxxxx
Xxx de x´xxxxxxxx xxxxxxxxx
- Xxxxxx
Xxxxxxx
Xxxxxxx
- Telefon
Telephone Xx
Xxxxxxxx phone
- Xxx
Xxx xxxxxx
X xx xxxxxxxxx
- Xxxxxx
(xxxxxxx xxxxxxx xxxxx x funkce xxxxxxxxxxx)
Xxxxxxxxx
(Xxxx xx capital xxxxxxx xxx xxxxxxxx xx xxxxxxxxx)
Xxxxxxxxx
(xxx en lettres xxxxxxxxx et xxxxxxx xx xxxxxxxxxx)
- Razítko
Stamp
Cachet
12) Xxxxxxxx xxxxx
Xxxxxxxx xxxxx
13) Xxxxx pod xxxxxx
Xxxxxxxxxxx xxxxx xxxx xxx xx
Xxxxxxxxxxx xxxxxx xxxx xx mére xxx
x) Xxxxx
Xxxx
Xxxx
x) Xxxx xxxxxx xxxxxxxxx
Xxxxxxx X
Xxx. X
x) Xxxxx xxxxxx xxxxxxxxx
Xxxxxxx X
Xxx. D
d) Xxxx xxxxx xxxxxxxxx
Xxxxxxx L
Post X
x) Pravá xxxxx xxxxxxxxx
Xxxxxxx X
Xxxx X
x) Xxxx
Xxxx
Xxxxx
x) Xxxxxxx
Xxxxxxxx
Xxxxxxx
x) Xxx
Xx
Xx
14) Xxxxxx a razítko xxxxxxxxxxx orgánu (xxxxxxx xxxxxxx jméno podepsaného)
Signature xxx xxxxx xx xxx xxxxxxxxx xxxxxxxxx (xxxx of xxxxxxxxx xx capital xxxxxxx)
Xxxxxxxxx xx xxxxxx xx xxxxxxxx xxxxxxxxxx (xxx xx xxxxxxxxxx xx xxxxxxx capitales)
Potvrzení xxxxxxxxxxxxx xxxxxx x zdravotním xxxxx a nákazové xxxxxxx x chovu
Veterinary xxxxxxxxxxxxx for intrastate xxxxxxxxx/Xxxxxxxxxx sanitaire pour xx transport xxxxxxxx
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Xxxxx Xxxxxxxx klinického Nákazová xxxxxxx Doba xxxxxxxxx, xxxx xxxxxx Xxxxx, xxxxxx x xxxxxxx
xxxxxxxxx xxxx v xxxxx x místo xxxxxx xxxxxxxxxxxxx xxxxxx
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Xxxxxxxxx příslušného xxxxxx xxxxxxxxxxx správy x nákazové xxxxxxx x xxxxxx
Xxxxxxxxxx xxxxxxxxxxxxx xxx xxxxxxxxxx xxxxxxxxx/Xxxxxxxxxx xxxxxxxxx pour le xxxxxxxxx xxxxxxxx
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Xxxxx Nákazová xxxxxxx Xxxx xxxxxxxxx, xxxx Jméno, xxxxxx x xxxxxxx Xxxxx xxx nalepení xxxxx
x xxxxxx x místo xxxxxx xxxxxxxxxxxxx lékaře
příslušného xxxxxx
xxxxxxxxxxx xxxxxx
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Xxxxx Xxxxx X tomuto průkazu xxxx xx xxxxxxxxx Xxxxxxx x podpis xxxxxxxxxxxxx xxxxxx
Xxxx Xxxxx xxxxxxxxxx veterinární xxxxxxxxx xxxxx: Xxxx, signature xxx xxxxx xx xxxxxxxxxxxx
Xxxx Xx this xxxxxxxx is xxxxxxxx xxxxxxxxxx Nom, xxxxxxxxx xx xxxxxx xx xxxxxxxxxxx
xxxxxxxxxx xxxxxxxxxxx No
Le xxxxxxxx xxx accompagné xxx xxxxxxxxxx
xxxxxxxxx xxxxxxxx Xx
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