Příloha x. 11 x xxxxxxxx č. 357/2001 Sb.
VZOR XXXXXXX XXXX
Xxxxx o xxxxxxxx
1. Xxx xxxxxxx xx xxxxxx příslušnost koně xxxxxxx xx xxxxxx xxxxxxxxxxxx xxxx xxxxxxxx.
2. Xxx změně xxxxxxxx xxxx xxx průkaz xxxx xx nejdříve xxxxxx příslušné xxxxxxxxxx x xxxxxxxx) xxxxx x xxxxxx xxxxxx xxxxxxxx k xxxxxxxxxxxxxx xxxxx.
3. Xxxxx xx xxx xxxx xxx xxxxxxx xxxxxxxx, nebo xx v majetku xxxxxxxxxxx, xxxx xxx x xxxxxxx uvedeno xxxxx x státní xxxxxxxxxxx osoby odpovědné xx xxxx. Xxxxx xxxx xxxxxxxx xxxxxxx xxxxxxxx příslušenství, xxxx xxxxx xxxxxx xxxxxxxxxxx xxxx.
4. Jestliže Xxxxxxxxxxx xxxxxxxx xxxxxxxx xxxxxxx xxxxxxxx koně Xxxxxxx xxxxxxxxx xxxxxxxx, xxxx xxx xxxxxxxxxxx xxxx xxxxxxxxx na xxxx xxxxxxx zapsány.
Details of xxxxxxxxx
1. Xxx xxxxxxxxxxx xxxxxxxx, xxx xxxxxxxxxxx xx the xxxxx xx xxxx xx xxx xxxxx.
2. Xx xxxxxx xx xxxxxxxxx xxx xxxxxxxx must xxxxxxxxxxx xx xxxxxx xxxx the xxxxxxx xxxxxxxxxxxx, xxxxxxxxxxx or xxxxxxxx xxxxxx, xxxxxx xxx xxxx xxx xxxxxxx xx the xxx xxxxx, xxx xxxxxxxxxxxx xxx xxxxxxxxxx xx xxx xxx xxxxx.
3. If xxxxx xx xxxx than xxx xxxxx or xxx horse xx xxxxx xx x xxxxxxx, xxxx the xxxx xx xxx xxxxxxxxxx xxxxxxxxxxx xxx xxx xxxxx xxxx xx xxxxxxx xx xxx passport xxxxxxxx xxxx his xxxxxxxxxxx. Xx xxx owners xxx xx xxxxxxxxx xxxxxxxxxxxxx, they xxxx xx determine xxx xxxxxxxxxxx of xxx xxxxx.
4. When the Xxxxxxxxxx équestre xxxxxxxxxxxxxx xxxxxxxx xxx xxxxxxx xx a xxxxx xx x xxxxxxxx xxxxxxxxxx xxxxxxxxxx, xxx xxxxxxx xx these xxxxxxxxxxxx xxxx xx xxxxxxxx xx xxx xxxxxxxx xxxxxxxxxx xxxxxxxxxx xxxxxxxxx.
Xxxxxxx xx droit xx xxxxxxxxx
1. Pour xxx compétitions, xx xxxxxxxxxxx xx cheval xxx celle xxx xxx xxxxxxxxxxxx.
2. Xx xxx de changement xx xxxxxxxxxxxx, xx xxxxxxxxx xxxx etre xxxxxxxxxxxxx xxxxxx xxxxxx xx l´organisation, l´association xx le xxxxxxx xxxxxxxx x´xxxxx xxxxxxx xxxx xx nom xx x´xxxxxxx du xxxxxxx propriétaire afin xx xx xxx xxxxxxxxxxx xxxxx réenregistrement.
3. X´xx x x xxxx d´un xxxxxxxxxxxx xx xx xx xxxxxx appartient x xxx xxxxxxx, xx xxx xx la xxxxxxxx responsable xxxx xx xxxxxx doit xxxx inscrit xxxx xx xxxxxxxxx ainsi xxx xx xxxxxxxxxxx. Xx xxx xxxxxxxxxxxxx xxxx xx xxxxxxxxxxxx xxxxxxxxxxx, xxx xxxxxxx xxxxxxxx xx xxxxxxxxxxx xx cheval.
4. Lorsque xx Xxxxxxxxxx xxxxxxxx xxxxxxxxxxxxxx xxxxxxxx la xxxxxxxx d´un xxxxxx xxx xxx Fédération xxxxxxxx xxxxxxxxx, xxx xxxxxxx xx xxx xxxxxxxxxxxx xxxxxxx xxxx xxxxxxxxxxx par la Xxxxxxxxxx xxxxxxxx xxxxxxxxx xxxxxxxxxx.
_________________________________________________________________________________________
Xxxxx registrace Jméno xxxxxxxx Adresa xxxxxxxx Xxxxxx xxxxxxxxxxx Xxxxxx xxxxxxxx Xxxxxxx xxxxxxxxx
xxxxxxxxx xxxxxxxxxx Xxxx xx xxxxx Address xx xxxxx xxxxxxxx Signature xx owner xxxxxxxxxx x podpis
Date xx xxxxxxxxxxxx, Nom du Xxxxxxx xx Nationality xx owner Signature xx Organization,
by the xxxxxxxxxxxx, xxxxxxxxxxxx xxxxxxxxxx Xxxxxxxxxxx du propriétaire xxxxxxxxxxx or
association, or Xxxxxxxxxxx xx xxxxxxxx xxxxxx xxxxx
xxxxxxxx agency xxxxxxxxxxxx xxx xxxxxxxxx
Xxxx x´xxxxxxxxxxxxxx Cachet xx x´xxxxxx-,
xxx x´xxxxxxxxxxxx, xxxxxx, xxxxxxxxxxx
x´xxxxxxxxxxx xx le xx xxxxxxx officiel
service xxxxxxxx xx xxxxxxxxx
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Xxxxx xxxxxxx xxxx
Xxxxxx o xxxxxxxx
Xxxxx xxxxxxxx koně xxxx xxx xxxxxxx x xxxxxx xxxxxxx x xxxx uvedené xxxxxxx x potvrzeno xxxxxx, xxxxxxxx a xxxxxxxx xxxxxxxxxxxxx xxxxxx.
Xxxxxx xxxxxxxx xxxx
Xxxxxxxxxxx xxxxxx
Xxxxxxx xx every xxxxxxxxxxx xxxxx xxx xxxxx xxxxxxxxx xxxx xx xxxxxxx xxxxxxx xxx xx xxxxxx, and xxxxxxxxx xxxx xxx xxxx xxx signature xx xxxxxxxxxxxx.
Xxxxxx xxxxxx xxxxxxxxx
Xxxxxxxxxxxxxx xxx xxxxxxxxxxxx
Xxxxx xxxxxxxxxxx xxxxx xxx xx xxxxxx xxxx xxxx xxxxxx xxxx xx xxxxx xx-xxxxxxx xx xxxxx lisible xx xxxxxxx xxxx xx xxx xx xx signature xx xxxxxxxxxxx.
________________________________________________________________________________________
Xxxxx Místo Xxxx Xxxxxxx Jméno, podpis x xxxxxxx
Xxxx Xxxxx Xxxxxxx Vaccine veterinárního xxxxxx
Xxxx Xxxx Xxxxxx Xxxx, xxxxxxxxx xxx xxxxx of
_________________________ veterinarian
Název Xxxxx xxxxx Nom, xxxxxxxxx et xxxxxx xx
Xxxx Xxxxx number xxxxxxxxxxx
Xxx Xxxxxx du xxx
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Xxxxxxxx xxxxxxxxxx xxxx xxxxxxxxx x tomto xxxxxxx
Xxxxxxxx xxxxxxxxxx xxxx xx zpravidla kontrolována xxx xxxxxxxxx, xxxxxxxxx xx xxxxxxxxxxxxx xxxxxxxxxxx. Xxxxxxxxx této xxxxxx xxxxxxx, xx xxxxx xxxxxxxxxxxx xxxx xx x souladu x xxxxxxxxx xxxxxxxxxxx xxxxxxxx xx xxxxxxxxx xxxxxx.
Xxxxxxxxxxxxxx xx the xxxxx xxxxxxxxx xx xxxx xxxxxxxxx
Xxx xxxxxxxx xx xxx xxxxx xxxx xx xxxxxxx xxxx xxxx xxxx is xxxxxxxx xx rules xxx xxxxxxxxxxx and xxxxxxxxx xxxx xx xxxxxxxx xxxx xxx xxxxxxxxxxx xxxxx xx xxx xxxxxxx xxxx xx xxx xxxxxxxx.
Xxxxxxxxx x´xxxxxxxx du xxxxxx xxxxxx xxxx xx xxxxxxxxx
X´xxxxxxxx xx cheval xxxx xxxx xxxxxxxxx xxxxxx xxxx xxx xxx lois et xxxxxxxxxx x´xxxxxxx : xxxxxx cette xxxx xxxxxxxx que xx xxxxxxxxxxx du cheval xxxxxxxx est xxxxxxxx x celui de xx paga xx xxxxxxxxxxx.
________________________________________________________________________________________
Xxxxx xxxxxxxx (svod, Xxxxx, xxxxxx x xxxxxx osoby xxxxxxxxx xxxxxxxxx
Xxxxx Xxxx x xxxx xxxxxxxxx xxxx.) Xxxxxxxxx, name (xxxxxxx) xxx status of xxxxxxxx
Xxxx Xxxx and Xxxxxxx xx xxxxxxx (xxxxx, xxxxxx xxxxxxxxx xxx identification
country certificate, xxx.) Signature, xxx xx capitales et xxxxxxx de la
Ville xx pays Motif xx xxxxxxxx (concours, xxxxxxxx ayant vérifié x´xxxxxxxx
xxxxxxxxxx xxxxxxxxx, xxx.)
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Xxxx xxxxxx než xxxxxxxxx xxxx
Xxxxxx xxxxxxxx
Xxxxx xxxxxxxx xxxx musí xxx xxxxxxx x xxxxxx xxxxxxx v níže xxxxxxx tabulce a xxxxxxxxx xxxxxx, xxxxxxxx x podpisem xxxxxxxxxxxxx xxxxxx.
Xxxxxxxx other xxxx xxxxxx xxxxxxxxx
Xxxxxxxxxxx record
Details xx xxxxx vaccination xxxxx the horse xxxxxxxxx must xx xxxxxxx xxxxxxx and xx detail, and xxxxxxxxx xxxx xxx xxxx and signature xx veterinarian.
Maladies autres xxx xx grippe xxxxxx
Xxxxxxxxxxxxxx xxx vaccinations
Toute xxxxxxxxxxx xxxxx xxx xx xxxxxx xxxx xxxx xxxxxx dans xx xxxxx xx-xxxxxxx xx xxxxx lisible xx xxxxxxx xxxx xx nom et xx signature du xxxxxxxxxxx.
_________________________________________________________________________________________
Xxxxxxx/Xxxxxxx/Xxxxxx Jméno, xxxxxx x razítko xxxxxxxxxxxxx
Xxxxx Xxxxx Země xxxxxx
Xxxx Xxxxx Country _________________________________ Xxxx, xxxxxxxxx and xxxxx xx
Xxxx Xxxx Xxxxx Xxxxx xxxxx Xxxxxx(x) veterinarian
Name Xxxxx xxxxxx Xxxxxxx(x) Xxx, xxxxxxxxx xx xxxxxx xx vétérinaire
Nom Numéro xx xxx Xxxxxxx(x)
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Xxxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxxxxxxxxx xxxxxxxxxx
Xxxxxxxx xxxxx xxxxxxxxx, xxxxxxxxxxx xx xxxxxxxx xxxxx xxxxxxxxxxx nebo xxxxxxxxxx xxxxxxxxxx xxxxxx xxxxxxxxxxx xxxxxxx xxxx, xxxx xxx xxxxx x xxxxxxxx xxxxxxx xxxxxxxxxxx, který reprezentuje xxxxxxxx požadující xxxxxxxxx.
Xxxxxxxxxx xxxxxx xxxx
Xxx result xx every xxxx xxxxxxx out for x transmissible xxxxxxx xx a xxxxxxxxxxxx xx x laboratory xxxxxxxxxx by xxx xxxxxxxxxx xxxxxxxxxx service xx xxx xxxxxxx xxxx be xxxxxxx xxxxxxx and xx xxxxxx xx xxx xxxxxxxxxxxx xxxxxx xx xxxxxx of xxx xxxxxxxxx xxxxxxxxxx xxx xxxx.
Xxxxxxxxx sanitaires xxxxxxxxx xxx des xxxxxxxxxxxx
Xx xxxxxxxx xx tout xxxxxxxx xxxxxxxx xxx xx vétérinaire xxxx xxx xxxxxxx xxxxxxxxxxxxx xx xxx un xxxxxxxxxxx xxxxx xxx xx xxxxxxx vétérinaire xxxxxxxxxxxxxx xx xxxx xxxx etre noté xxxxxxxxxx xx en xxxxxxx xxx xx xxxxxxxxxxx xxx xxxxxxxxxx x´xxxxxxxx xxxxxxxxx xx xxxxxxxx.
_________________________________________________________________________________________
Xxxxxxxxxx xxxxxx Xxxx xxxxxxxxx Výsledek xxxxxxxxx Xxxxx xxxxxxxxx Autorizovaná xxxxxx- Xxxxx, xxxxxx x
Xxxxx Xxxxxxxxxxxxx Xxxx xx xxxx Xxxxxx xx test Xxxxxx xxxxxx xxx, která xxxxxxxxxxx xxxxxxx xxxxxxxxxxxxx
Xxxx xxxxxxx xxxxxx xxx Xxxxxx xx Résultat xx Numéro du xxxxxx lékaře
Maladies x´xxxxxx x´xxxxxx protocole Official xxxxxxxxxx to Xxxx, xxxxxxxxx
xxxxxxxxxxxxxx xxxxx sample xx xxxx and xxxxx of
concernées Xxxxxxxxxxx xxxxxxxx veterinarian
d´analyse xx Xxx, xxxxxxxxx xx
xxxxxxxxxxx xxxxxx xx
xxxxxxxxxxx
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Xxxxxxxx údaje xxxx
1) Xxxxxxxxxxxxx xxxxx 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) Otec matky
Dam xx
Xxxx par
8) Datum xxxxxxxx
Xxxx xx xxxxxxx
Xxxx xx xxxxxxxxx
9) Xxxxx xxxxxxxx
Xxxxx where xxxx
Xxxx x´xxxxxxx
10) Xxxxxxxx(x)
Xxxxxxx(x)
Xxxxxxxx(x)
11) Xxxxxxxxx xxx
xxxxxxxxx xx
xxxxxx le
- Xxxxx xxxxxxxxxxx orgánu
Name xx xxx xxxxxxxxx xxxxxxxxx
Xxx xx x´xxxxxxxx xxxxxxxxx
- Adresa
Address
Adresse
- Telefon
Telephone Xx
Xxxxxxxx xxxxx
- Fax
Fax xxxxxx
X de télécopie
- Xxxxxx
(xxxxxxx xxxxxxx jméno x xxxxxx podepsaného)
Signature
(Name xx xxxxxxx letters xxx xxxxxxxx xx xxxxxxxxx)
Xxxxxxxxx
(xxx xx xxxxxxx xxxxxxxxx et qualité xx xxxxxxxxxx)
- Razítko
Stamp
Cachet
12) Xxxxxxxx xxxxx
Xxxxxxxx popis
13) Xxxxx xxx xxxxxx
Xxxxxxxxxxx xxxxx with xxx xx
Xxxxxxxxxxx xxxxxx sous xx xxxx xxx
x) Xxxxx
Xxxx
Xxxx
x) Xxxx xxxxxx xxxxxxxxx
Xxxxxxx L
Ant. G
c) Xxxxx xxxxxx xxxxxxxxx
Xxxxxxx X
Xxx. D
d) Xxxx xxxxx xxxxxxxxx
Xxxxxxx X
Xxxx X
x) Xxxxx xxxxx xxxxxxxxx
Xxxxxxx X
Xxxx D
f) Xxxx
Xxxx
Xxxxx
x) Odznaky
Markings
Marques
h) Dne
On
Le
14) Xxxxxx x xxxxxxx xxxxxxxxxxx orgánu (xxxxxxx xxxxxxx xxxxx xxxxxxxxxxx)
Xxxxxxxxx xxx xxxxx xx xxx xxxxxxxxx authority (xxxx xx signatory xx xxxxxxx letters)
Signature xx xxxxxx xx xxxxxxxx xxxxxxxxxx (xxx xx signataire xx xxxxxxx xxxxxxxxx)
Xxxxxxxxx veterinárního xxxxxx x xxxxxxxxxx xxxxx a nákazové xxxxxxx v xxxxx
Xxxxxxxxxx xxxxxxxxxxxxx for intrastate xxxxxxxxx/Xxxxxxxxxx sanitaire pour xx xxxxxxxxx xxxxxxxx
_________________________________________________________________________________________
Xxxxx Xxxxxxxx xxxxxxxxxx Xxxxxxxx xxxxxxx Xxxx platnosti, xxxx vydání Xxxxx, xxxxxx x xxxxxxx
xxxxxxxxx xxxx x xxxxx x xxxxx xxxxxx xxxxxxxxxxxxx xxxxxx
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Xxxxxxxxx xxxxxxxxxxx xxxxxx veterinární správy x xxxxxxxx situaci x xxxxxx
Xxxxxxxxxx xxxxxxxxxxxxx xxx xxxxxxxxxx xxxxxxxxx/Xxxxxxxxxx xxxxxxxxx xxxx le xxxxxxxxx indigéne
________________________________________________________________________________________
Datum Nákazová xxxxxxx Xxxx xxxxxxxxx, xxxx Xxxxx, xxxxxx x xxxxxxx Místo xxx xxxxxxxx xxxxx
x xxxxxx x místo xxxxxx xxxxxxxxxxxxx lékaře
příslušného xxxxxx
xxxxxxxxxxx xxxxxx
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Xxxxx Xxxxx X xxxxxx xxxxxxx xxxx xx xxxxxxxxx Xxxxxxx a podpis xxxxxxxxxxxxx xxxxxx
Xxxx Xxxxx xxxxxxxxxx xxxxxxxxxxx osvědčení xxxxx: Xxxx, xxxxxxxxx xxx stamp of xxxxxxxxxxxx
Xxxx To xxxx xxxxxxxx xx xxxxxxxx xxxxxxxxxx Nom, xxxxxxxxx xx xxxxxx du xxxxxxxxxxx
xxxxxxxxxx certificate No
Le xxxxxxxx est accompagné xxx xxxxxxxxxx
xxxxxxxxx xxxxxxxx Xx
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________