Příloha x. 11 x vyhlášce x. 357/2001 Sb.
VZOR XXXXXXX XXXX
Xxxxx x majiteli
1. Xxx xxxxxxx xx xxxxxx xxxxxxxxxxx xxxx xxxxxxx xx xxxxxx xxxxxxxxxxxx xxxx xxxxxxxx.
2. Xxx změně majitele xxxx xxx průkaz xxxx co nejdříve xxxxxx příslušné organizaci x xxxxxxxx) jména x xxxxxx xxxxxx xxxxxxxx x xxxxxxxxxxxxxx xxxxx.
3. Xxxxx má xxx více xxx xxxxxxx xxxxxxxx, xxxx xx x majetku xxxxxxxxxxx, musí xxx x průkazu uvedeno xxxxx x státní xxxxxxxxxxx xxxxx odpovědné xx xxxx. Xxxxx xxxx xxxxxxxx xxxxxxx xxxxxxxx xxxxxxxxxxxxx, musí xxxxx xxxxxx příslušnost xxxx.
4. Xxxxxxxx Mezinárodní xxxxxxxx xxxxxxxx xxxxxxx xxxxxxxx xxxx Xxxxxxx xxxxxxxxx xxxxxxxx, xxxx xxx podrobnosti xxxx xxxxxxxxx na této xxxxxxx xxxxxxx.
Xxxxxxx of xxxxxxxxx
1. For xxxxxxxxxxx xxxxxxxx, xxx nationality xx the horse xx that xx xxx owner.
2. On xxxxxx xx ownership xxx xxxxxxxx xxxx xxxxxxxxxxx xx xxxxxx xxxx xxx issuing xxxxxxxxxxxx, association xx xxxxxxxx agency, xxxxxx xxx name xxx xxxxxxx xx xxx xxx owner, xxx xxxxxxxxxxxx and xxxxxxxxxx xx the xxx xxxxx.
3. Xx xxxxx xx more xxxx xxx xxxxx xx xxx xxxxx xx xxxxx xx a xxxxxxx, xxxx the xxxx xx the xxxxxxxxxx responsible for xxx xxxxx must xx xxxxxxx xx xxx xxxxxxxx together xxxx xxx nationality. Xx xxx xxxxxx xxx xx xxxxxxxxx xxxxxxxxxxxxx, they have xx xxxxxxxxx the xxxxxxxxxxx xx xxx xxxxx.
4. Xxxx xxx Xxxxxxxxxx xxxxxxxx xxxxxxxxxxxxxx xxxxxxxx xxx leasing xx x xxxxx xx x national xxxxxxxxxx xxxxxxxxxx, xxx xxxxxxx xx xxxxx xxxxxxxxxxxx xxxx be xxxxxxxx xx xxx xxxxxxxx xxxxxxxxxx federation xxxxxxxxx.
Xxxxxxx xx xxxxx xx xxxxxxxxx
1. Xxxx xxx compétitions, xx xxxxxxxxxxx xx xxxxxx xxx xxxxx den xxx xxxxxxxxxxxx.
2. Xx xxx xx xxxxxxxxxx xx propriétaire, xx xxxxxxxxx xxxx xxxx xxxxxxxxxxxxx xxxxxx xxxxxx xx x´xxxxxxxxxxxx, l´association 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 x xxxx x´xx propriétaire xx xx le xxxxxx appartient á xxx xxxxxxx, le xxx xx xx xxxxxxxx xxxxxxxxxxx xxxx xx cheval xxxx xxxx xxxxxxx xxxx xx passeport xxxxx xxx xx nationalité. Xx xxx xxxxxxxxxxxxx xxxx xx xxxxxxxxxxxx xxxxxxxxxxx, ils xxxxxxx xxxxxxxx xx nationalité xx cheval.
4. Xxxxxxx xx Fédération xxxxxxxx xxxxxxxxxxxxxx xxxxxxxx xx xxxxxxxx x´xx xxxxxx xxx xxx Xxxxxxxxxx xxxxxxxx nationale, xxx xxxxxxx xx xxx xxxxxxxxxxxx doivent xxxx xxxxxxxxxxx xxx xx Xxxxxxxxxx xxxxxxxx nationale xxxxxxxxxx.
_________________________________________________________________________________________
Xxxxx xxxxxxxxxx Xxxxx xxxxxxxx Xxxxxx xxxxxxxx Xxxxxx xxxxxxxxxxx Xxxxxx xxxxxxxx Xxxxxxx příslušné
příslušné xxxxxxxxxx Xxxx xx xxxxx Address xx xxxxx majitele Xxxxxxxxx xx xxxxx xxxxxxxxxx x xxxxxx
Xxxx of xxxxxxxxxxxx, Xxx du Xxxxxxx du Xxxxxxxxxxx xx xxxxx Xxxxxxxxx xx Xxxxxxxxxxxx,
xx the xxxxxxxxxxxx, propriétaire xxxxxxxxxx Xxxxxxxxxxx xx xxxxxxxxxxxx xxxxxxxxxxx or
association, xx Xxxxxxxxxxx xx official xxxxxx xxxxx
xxxxxxxx xxxxxx xxxxxxxxxxxx xxx xxxxxxxxx
Xxxx x´xxxxxxxxxxxxxx Xxxxxx xx x´xxxxxx-,
xxx x´xxxxxxxxxxxx, xxxxxx, xxxxxxxxxxx
x´xxxxxxxxxxx xx le xx xxxxxxx officiel
service xxxxxxxx xx signature
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Pouze xxxxxxx koní
Záznam o xxxxxxxx
Xxxxx xxxxxxxx xxxx xxxx xxx xxxxxxx x xxxxxx xxxxxxx x xxxx xxxxxxx xxxxxxx x xxxxxxxxx xxxxxx, xxxxxxxx x xxxxxxxx xxxxxxxxxxxxx lékaře.
Equine xxxxxxxx only
Vaccination xxxxxx
Xxxxxxx xx xxxxx xxxxxxxxxxx xxxxx xxx xxxxx xxxxxxxxx must xx xxxxxxx xxxxxxx and xx detail, xxx xxxxxxxxx xxxx the xxxx xxx xxxxxxxxx xx veterinarian.
Grippe xxxxxx xxxxxxxxx
Xxxxxxxxxxxxxx xxx xxxxxxxxxxxx
Xxxxx xxxxxxxxxxx xxxxx xxx xx xxxxxx xxxx xxxx portée xxxx xx cadre xx-xxxxxxx xx xxxxx xxxxxxx xx xxxxxxx xxxx xx nom xx xx xxxxxxxxx du xxxxxxxxxxx.
________________________________________________________________________________________
Xxxxx Xxxxx Země Xxxxxxx Xxxxx, xxxxxx x razítko
Date Xxxxx Xxxxxxx Xxxxxxx xxxxxxxxxxxxx xxxxxx
Xxxx Pays Vaccin Xxxx, xxxxxxxxx and xxxxx xx
_________________________ xxxxxxxxxxxx
Xxxxx Xxxxx xxxxx Xxx, xxxxxxxxx xx xxxxxx xx
Xxxx Xxxxx xxxxxx xxxxxxxxxxx
Xxx Xxxxxx xx xxx
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Xxxxxxxx totožnosti koně xxxxxxxxx x xxxxx xxxxxxx
Xxxxxxxx totožnosti koně xx xxxxxxxxx kontrolována xxx xxxxxxxxx, xxxxxxxxx xx xxxxxxxxxxxxx prohlídkách. Xxxxxxxxx této xxxxxx xxxxxxx, xx xxxxx xxxxxxxxxxxx koně je x souladu x xxxxxxxxx znázorněním uvedeným xx příslušné xxxxxx.
Xxxxxxxxxxxxxx xx xxx xxxxx xxxxxxxxx xx this xxxxxxxxx
Xxx xxxxxxxx xx xxx horse must xx xxxxxxx each xxxx xxxx xx xxxxxxxx by xxxxx xxx xxxxxxxxxxx xxx xxxxxxxxx xxxx it xxxxxxxx xxxx the xxxxxxxxxxx xxxxx xx xxx diagram xxxx xx its passport.
Controles x´xxxxxxxx xx cheval xxxxxx xxxx xx xxxxxxxxx
X´xxxxxxxx xx cheval xxxx xxxx controlée xxxxxx xxxx xxx xxx xxxx et xxxxxxxxxx l´exigent : xxxxxx xxxxx page xxxxxxxx que le xxxxxxxxxxx du xxxxxx xxxxxxxx xxx xxxxxxxx x xxxxx de xx xxxx xx xxxxxxxxxxx.
________________________________________________________________________________________
Xxxxx xxxxxxxx (xxxx, Xxxxx, xxxxxx x xxxxxx xxxxx ověřující xxxxxxxxx
Xxxxx Obec x xxxx xxxxxxxxx xxxx.) Xxxxxxxxx, name (printed) xxx xxxxxx xx xxxxxxxx
Xxxx Xxxx xxx Xxxxxxx xx control (xxxxx, xxxxxx verifying xxx xxxxxxxxxxxxxx
xxxxxxx xxxxxxxxxxx, xxx.) Xxxxxxxxx, xxx xx xxxxxxxxx et xxxxxxx de xx
Xxxxx xx xxxx Motif xx xxxxxxxx (concours, xxxxxxxx ayant xxxxxxx x´xxxxxxxx
xxxxxxxxxx sanitaire, etc.)
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Jiné xxxxxx xxx xxxxxxxxx xxxx
Xxxxxx xxxxxxxx
Xxxxx xxxxxxxx xxxx musí být xxxxxxx x xxxxxx xxxxxxx x xxxx xxxxxxx xxxxxxx a xxxxxxxxx xxxxxx, xxxxxxxx x podpisem veterinárního xxxxxx.
Xxxxxxxx other xxxx xxxxxx xxxxxxxxx
Xxxxxxxxxxx xxxxxx
Xxxxxxx xx every xxxxxxxxxxx xxxxx the xxxxx xxxxxxxxx xxxx xx xxxxxxx clearly xxx xx xxxxxx, and xxxxxxxxx with xxx xxxx and xxxxxxxxx xx veterinarian.
Maladies xxxxxx xxx xx xxxxxx xxxxxx
Xxxxxxxxxxxxxx xxx vaccinations
Toute xxxxxxxxxxx xxxxx xxx xx xxxxxx xxxx xxxx xxxxxx dans xx xxxxx ci-dessous xx xxxxx lisible xx xxxxxxx xxxx xx nom xx xx xxxxxxxxx xx xxxxxxxxxxx.
_________________________________________________________________________________________
Xxxxxxx/Xxxxxxx/Xxxxxx Xxxxx, xxxxxx x xxxxxxx xxxxxxxxxxxxx
Xxxxx Xxxxx Xxxx lékaře
Date Xxxxx Xxxxxxx _________________________________ Xxxx, xxxxxxxxx xxx xxxxx of
Lieu Xxxx Xxxxx Xxxxx série Xxxxxx(x) veterinarian
Name Xxxxx xxxxxx Xxxxxxx(x) Nom, xxxxxxxxx xx xxxxxx xx xxxxxxxxxxx
Xxx Xxxxxx xx lot Xxxxxxx(x)
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Xxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxxxxxxxxx xxxxxxxxxx
Xxxxxxxx xxxxx xxxxxxxxx, xxxxxxxxxxx xx přenosou xxxxx xxxxxxxxxxx xxxx xxxxxxxxxx xxxxxxxxxx státní xxxxxxxxxxx správou země, xxxx xxx xxxxx x xxxxxxxx zapsány xxxxxxxxxxx, který xxxxxxxxxxxx xxxxxxxx xxxxxxxxxx xxxxxxxxx.
Xxxxxxxxxx xxxxxx test
The xxxxxx xx xxxxx test xxxxxxx out xxx x xxxxxxxxxxxxx xxxxxxx xx a xxxxxxxxxxxx xx x laboratory xxxxxxxxxx by xxx xxxxxxxxxx xxxxxxxxxx xxxxxxx xx xxx xxxxxxx xxxx xx xxxxxxx xxxxxxx and xx xxxxxx by xxx xxxxxxxxxxxx acting xx xxxxxx of xxx xxxxxxxxx xxxxxxxxxx xxx xxxx.
Xxxxxxxxx xxxxxxxxxx xxxxxxxxx xxx xxx xxxxxxxxxxxx
Xx xxxxxxxx xx tout xxxxxxxx xxxxxxxx xxx xx vétérinaire xxxx xxx xxxxxxx xxxxxxxxxxxxx xx xxx un xxxxxxxxxxx xxxxx par xx xxxxxxx xxxxxxxxxxx xxxxxxxxxxxxxx xx pays xxxx xxxx noté xxxxxxxxxx xx en xxxxxxx xxx xx xxxxxxxxxxx xxx représente x´xxxxxxxx xxxxxxxxx le xxxxxxxx.
_________________________________________________________________________________________
Xxxxxxxxxx nákazy Xxxx xxxxxxxxx Xxxxxxxx xxxxxxxxx Xxxxx xxxxxxxxx Xxxxxxxxxxxx xxxxxx- Xxxxx, podpis x
Xxxxx Transmissible Xxxx xx xxxx Xxxxxx xx test Xxxxxx xxxxxx xxx, xxxxx xxxxxxxxxxx xxxxxxx xxxxxxxxxxxxx
Xxxx xxxxxxx xxxxxx for Xxxxxx xx Xxxxxxxx xx Xxxxxx du xxxxxx xxxxxx
Xxxxxxxx x´xxxxxx x´xxxxxx xxxxxxxxx Xxxxxxxx xxxxxxxxxx to Xxxx, xxxxxxxxx
xxxxxxxxxxxxxx which xxxxxx xx sent and xxxxx of
concernées Laboratoire xxxxxxxx veterinarian
d´analyse xx Xxx, signature xx
xxxxxxxxxxx xxxxxx xx
xxxxxxxxxxx
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Xxxxxxxx údaje 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) Otec
Sire
Pére
7a) Xxxxx 7x) Xxxx xxxxx
Xxx xx
Xxxx xxx
8) Xxxxx xxxxxxxx
Xxxx xx foaling
Date xx xxxxxxxxx
9) Místo xxxxxxxx
Xxxxx xxxxx xxxx
Xxxx x´xxxxxxx
10) Xxxxxxxx(x)
Xxxxxxx(x)
Xxxxxxxx(x)
11) Potvrzeno xxx
xxxxxxxxx xx
xxxxxx le
- Xxxxx xxxxxxxxxxx xxxxxx
Xxxx xx the xxxxxxxxx xxxxxxxxx
Xxx xx l´autorité xxxxxxxxx
- Adresa
Address
Adresse
- Xxxxxxx
Xxxxxxxxx Xx
Xxxxxxxx xxxxx
- Xxx
Xxx xxxxxx
X xx xxxxxxxxx
- Xxxxxx
(xxxxxxx písmeny xxxxx x xxxxxx xxxxxxxxxxx)
Xxxxxxxxx
(Xxxx xx capital xxxxxxx xxx xxxxxxxx of xxxxxxxxx)
Xxxxxxxxx
(xxx xx xxxxxxx xxxxxxxxx xx xxxxxxx xx signataire)
- Razítko
Stamp
Cachet
12) Xxxxxxxx popis
Grafický popis
13) Xxxxx pod xxxxxx
Xxxxxxxxxxx xxxxx with dam xx
Xxxxxxxxxxx relevé xxxx xx mére xxx
x) Xxxxx
Xxxx
Xxxx
x) Xxxx xxxxxx xxxxxxxxx
Xxxxxxx X
Xxx. G
c) Xxxxx xxxxxx končetina
Foreleg 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 x xxxxxxx xxxxxxxxxxx xxxxxx (velkými xxxxxxx xxxxx podepsaného)
Signature xxx xxxxx xx xxx xxxxxxxxx xxxxxxxxx (xxxx xx xxxxxxxxx xx xxxxxxx xxxxxxx)
Xxxxxxxxx xx cachet du xxxxxxxx xxxxxxxxxx (xxx xx signataire xx xxxxxxx capitales)
Potvrzení xxxxxxxxxxxxx xxxxxx o xxxxxxxxxx xxxxx x xxxxxxxx xxxxxxx v xxxxx
Xxxxxxxxxx xxxxxxxxxxxxx xxx xxxxxxxxxx xxxxxxxxx/Xxxxxxxxxx xxxxxxxxx xxxx xx transport xxxxxxxx
_________________________________________________________________________________________
Xxxxx Xxxxxxxx klinického Xxxxxxxx xxxxxxx Xxxx platnosti, xxxx xxxxxx Xxxxx, xxxxxx a xxxxxxx
xxxxxxxxx xxxx v chovu x místo xxxxxx xxxxxxxxxxxxx lékaře
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Potvrzení příslušného xxxxxx xxxxxxxxxxx xxxxxx x nákazové xxxxxxx x xxxxxx
Xxxxxxxxxx xxxxxxxxxxxxx xxx xxxxxxxxxx xxxxxxxxx/Xxxxxxxxxx xxxxxxxxx pour le xxxxxxxxx xxxxxxxx
________________________________________________________________________________________
Xxxxx Xxxxxxxx xxxxxxx Xxxx xxxxxxxxx, xxxx Jméno, xxxxxx x xxxxxxx Xxxxx xxx xxxxxxxx xxxxx
x xxxxxx a xxxxx xxxxxx xxxxxxxxxxxxx xxxxxx
xxxxxxxxxxx xxxxxx
xxxxxxxxxxx správy
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Datum Xxxxx X xxxxxx xxxxxxx xxxx xx přiloženo Xxxxxxx x xxxxxx xxxxxxxxxxxxx xxxxxx
Xxxx Xxxxx xxxxxxxxxx xxxxxxxxxxx xxxxxxxxx xxxxx: Xxxx, signature xxx xxxxx xx xxxxxxxxxxxx
Xxxx Xx xxxx xxxxxxxx is attached xxxxxxxxxx Xxx, xxxxxxxxx xx cachet du xxxxxxxxxxx
xxxxxxxxxx xxxxxxxxxxx Xx
Xx xxxxxxxx xxx accompagné xxx certificat
sanitaire xxxxxxxx Xx
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________