Příloha x. 11 x xxxxxxxx č. 357/2001 Xx.
XXXX PRŮKAZU XXXX
Xxxxx x xxxxxxxx
1. Xxx xxxxxxx xx xxxxxx xxxxxxxxxxx xxxx xxxxxxx xx xxxxxx xxxxxxxxxxxx xxxx xxxxxxxx.
2. Xxx xxxxx majitele xxxx xxx xxxxxx xxxx co xxxxxxxx xxxxxx xxxxxxxxx xxxxxxxxxx x xxxxxxxx) xxxxx x xxxxxx xxxxxx xxxxxxxx x xxxxxxxxxxxxxx xxxxx.
3. Xxxxx xx xxx více xxx xxxxxxx xxxxxxxx, nebo xx x majetku xxxxxxxxxxx, xxxx být x průkazu uvedeno xxxxx x xxxxxx xxxxxxxxxxx xxxxx xxxxxxxxx xx xxxx. Xxxxx xxxx majitelé různých xxxxxxxx xxxxxxxxxxxxx, musí xxxxx státní xxxxxxxxxxx xxxx.
4. Xxxxxxxx Xxxxxxxxxxx xxxxxxxx xxxxxxxx xxxxxxx xxxxxxxx koně Národní xxxxxxxxx xxxxxxxx, xxxx xxx xxxxxxxxxxx xxxx xxxxxxxxx xx xxxx xxxxxxx xxxxxxx.
Xxxxxxx xx xxxxxxxxx
1. For xxxxxxxxxxx xxxxxxxx, the xxxxxxxxxxx xx xxx xxxxx xx xxxx xx xxx xxxxx.
2. On xxxxxx of xxxxxxxxx xxx xxxxxxxx must xxxxxxxxxxx xx lodged xxxx xxx issuing xxxxxxxxxxxx, xxxxxxxxxxx or xxxxxxxx xxxxxx, giving xxx xxxx xxx xxxxxxx xx the xxx xxxxx, for xxxxxxxxxxxx and xxxxxxxxxx xx xxx xxx xxxxx.
3. Xx xxxxx xx xxxx than xxx xxxxx xx xxx xxxxx is xxxxx xx x xxxxxxx, then xxx xxxx of xxx xxxxxxxxxx xxxxxxxxxxx for xxx xxxxx xxxx xx entered xx xxx xxxxxxxx xxxxxxxx xxxx xxx xxxxxxxxxxx. Xx xxx owners xxx of xxxxxxxxx xxxxxxxxxxxxx, xxxx xxxx xx determine xxx xxxxxxxxxxx of the xxxxx.
4. Xxxx xxx Xxxxxxxxxx xxxxxxxx xxxxxxxxxxxxxx xxxxxxxx xxx xxxxxxx xx x xxxxx xx x xxxxxxxx xxxxxxxxxx xxxxxxxxxx, the xxxxxxx xx xxxxx xxxxxxxxxxxx xxxx xx xxxxxxxx xx xxx xxxxxxxx xxxxxxxxxx federation xxxxxxxxx.
Xxxxxxx de xxxxx xx propriété
1. Pour xxx xxxxxxxxxxxx, la xxxxxxxxxxx du xxxxxx xxx xxxxx den xxx xxxxxxxxxxxx.
2. Xx xxx xx xxxxxxxxxx xx propriétaire, xx xxxxxxxxx xxxx xxxx xxxxxxxxxxxxx xxxxxx xxxxxx xx l´organisation, l´association xx xx xxxxxxx xxxxxxxx x´xxxxx délivré xxxx le xxx xx x´xxxxxxx du xxxxxxx xxxxxxxxxxxx xxxx xx le xxx xxxxxxxxxxx aprés xxxxxxxxxxxxxxxx.
3. X´xx x x xxxx x´xx xxxxxxxxxxxx xx si xx xxxxxx xxxxxxxxxx á xxx xxxxxxx, xx xxx de xx xxxxxxxx responsable xxxx xx xxxxxx doit xxxx xxxxxxx xxxx xx xxxxxxxxx xxxxx xxx xx xxxxxxxxxxx. Xx xxx xxxxxxxxxxxxx xxxx xx nationalités xxxxxxxxxxx, xxx xxxxxxx xxxxxxxx xx xxxxxxxxxxx xx cheval.
4. Xxxxxxx xx Fédération xxxxxxxx xxxxxxxxxxxxxx xxxxxxxx xx xxxxxxxx d´un xxxxxx xxx xxx Xxxxxxxxxx xxxxxxxx xxxxxxxxx, xxx xxxxxxx de xxx xxxxxxxxxxxx doivent xxxx xxxxxxxxxxx xxx xx Xxxxxxxxxx xxxxxxxx nationale xxxxxxxxxx.
_________________________________________________________________________________________
Xxxxx xxxxxxxxxx Jméno xxxxxxxx Xxxxxx majitele Xxxxxx xxxxxxxxxxx Podpis xxxxxxxx Xxxxxxx xxxxxxxxx
xxxxxxxxx xxxxxxxxxx Xxxx xx xxxxx Address xx xxxxx xxxxxxxx Xxxxxxxxx xx xxxxx xxxxxxxxxx x xxxxxx
Xxxx xx xxxxxxxxxxxx, Xxx du Xxxxxxx xx Xxxxxxxxxxx xx xxxxx Xxxxxxxxx xx Xxxxxxxxxxxx,
xx xxx xxxxxxxxxxxx, propriétaire xxxxxxxxxx Xxxxxxxxxxx xx xxxxxxxxxxxx xxxxxxxxxxx xx
xxxxxxxxxxx, xx Xxxxxxxxxxx du xxxxxxxx xxxxxx stamp
official xxxxxx xxxxxxxxxxxx xxx xxxxxxxxx
Xxxx x´xxxxxxxxxxxxxx Xxxxxx xx x´xxxxxx-,
xxx x´xxxxxxxxxxxx, sation, xxxxxxxxxxx
x´xxxxxxxxxxx ou le xx xxxxxxx xxxxxxxx
xxxxxxx xxxxxxxx et xxxxxxxxx
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Xxxxx xxxxxxx xxxx
Xxxxxx x xxxxxxxx
Xxxxx očkování xxxx xxxx xxx xxxxxxx x přesně zapsáno x xxxx xxxxxxx xxxxxxx x xxxxxxxxx xxxxxx, xxxxxxxx x xxxxxxxx veterinárního xxxxxx.
Xxxxxx xxxxxxxx xxxx
Xxxxxxxxxxx xxxxxx
Xxxxxxx xx xxxxx xxxxxxxxxxx xxxxx the xxxxx xxxxxxxxx xxxx xx xxxxxxx xxxxxxx and xx detail, xxx xxxxxxxxx xxxx the xxxx xxx xxxxxxxxx xx xxxxxxxxxxxx.
Xxxxxx xxxxxx xxxxxxxxx
Xxxxxxxxxxxxxx xxx xxxxxxxxxxxx
Xxxxx xxxxxxxxxxx subie xxx xx xxxxxx doit xxxx xxxxxx xxxx xx cadre ci-dessous xx facon lisible xx précise avec xx nom xx xx signature xx xxxxxxxxxxx.
________________________________________________________________________________________
Xxxxx Xxxxx Xxxx Xxxxxxx Xxxxx, xxxxxx x razítko
Date Xxxxx Xxxxxxx Vaccine xxxxxxxxxxxxx xxxxxx
Xxxx Pays Xxxxxx Xxxx, xxxxxxxxx xxx xxxxx xx
_________________________ xxxxxxxxxxxx
Xxxxx Xxxxx xxxxx Xxx, xxxxxxxxx et cachet xx
Xxxx Xxxxx number xxxxxxxxxxx
Xxx Numéro xx xxx
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Xxxxxxxx totožnosti xxxx xxxxxxxxx x tomto xxxxxxx
Xxxxxxxx xxxxxxxxxx xxxx xx xxxxxxxxx xxxxxxxxxxxx xxx soutěžích, dostizích xx xxxxxxxxxxxxx xxxxxxxxxxx. Xxxxxxxxx xxxx xxxxxx xxxxxxx, xx xxxxx xxxxxxxxxxxx koně je x xxxxxxx x xxxxxxxxx znázorněním xxxxxxxx xx xxxxxxxxx straně.
Identification xx the horse xxxxxxxxx xx xxxx xxxxxxxxx
Xxx identity xx xxx xxxxx must xx xxxxxxx xxxx xxxx this xx xxxxxxxx by xxxxx xxx xxxxxxxxxxx and xxxxxxxxx xxxx xx xxxxxxxx xxxx xxx xxxxxxxxxxx xxxxx xx xxx xxxxxxx page xx xxx passport.
Controles x´xxxxxxxx du xxxxxx xxxxxx dans ce xxxxxxxxx
X´xxxxxxxx xx xxxxxx xxxx xxxx xxxxxxxxx xxxxxx fois que xxx xxxx xx xxxxxxxxxx x´xxxxxxx : xxxxxx cette page xxxxxxxx xxx le xxxxxxxxxxx xx xxxxxx xxxxxxxx xxx xxxxxxxx x xxxxx de xx xxxx du xxxxxxxxxxx.
________________________________________________________________________________________
Xxxxx xxxxxxxx (svod, Xxxxx, xxxxxx x xxxxxx xxxxx ověřující xxxxxxxxx
Xxxxx Xxxx a xxxx osvědčení xxxx.) Xxxxxxxxx, xxxx (printed) xxx xxxxxx xx xxxxxxxx
Xxxx Xxxx xxx Xxxxxxx xx xxxxxxx (xxxxx, health xxxxxxxxx xxx xxxxxxxxxxxxxx
xxxxxxx xxxxxxxxxxx, xxx.) Signature, xxx xx xxxxxxxxx xx xxxxxxx de xx
Xxxxx xx xxxx Motif xx controle (concours, xxxxxxxx xxxxx vérifié x´xxxxxxxx
xxxxxxxxxx sanitaire, xxx.)
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Xxxx xxxxxx xxx xxxxxxxxx xxxx
Xxxxxx xxxxxxxx
Xxxxx xxxxxxxx xxxx xxxx být xxxxxxx x přesně xxxxxxx v níže xxxxxxx tabulce x xxxxxxxxx jménem, razítkem x xxxxxxxx veterinárního xxxxxx.
Xxxxxxxx xxxxx xxxx xxxxxx xxxxxxxxx
Xxxxxxxxxxx record
Details xx xxxxx xxxxxxxxxxx xxxxx xxx xxxxx xxxxxxxxx xxxx xx xxxxxxx clearly xxx xx detail, and xxxxxxxxx with the xxxx xxx signature xx xxxxxxxxxxxx.
Xxxxxxxx autres xxx xx xxxxxx xxxxxx
Xxxxxxxxxxxxxx xxx xxxxxxxxxxxx
Xxxxx xxxxxxxxxxx xxxxx xxx xx cheval doit xxxx xxxxxx dans xx xxxxx ci-dessous xx facon xxxxxxx xx précise xxxx xx xxx et xx xxxxxxxxx xx xxxxxxxxxxx.
_________________________________________________________________________________________
Xxxxxxx/Xxxxxxx/Xxxxxx Xxxxx, xxxxxx x razítko xxxxxxxxxxxxx
Xxxxx Xxxxx Xxxx xxxxxx
Xxxx Xxxxx Country _________________________________ Xxxx, xxxxxxxxx and xxxxx xx
Xxxx Xxxx Xxxxx Číslo série Xxxxxx(x) xxxxxxxxxxxx
Xxxx Batch xxxxxx Xxxxxxx(x) Xxx, xxxxxxxxx xx xxxxxx xx xxxxxxxxxxx
Xxx Xxxxxx xx xxx Xxxxxxx(x)
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Xxxxxxxxx xxxxxxxxx xxxxxxxxx autorizovanou xxxxxxxxxx
Xxxxxxxx xxxxx vyšetření, xxxxxxxxxxx na přenosou xxxxx xxxxxxxxxxx xxxx xxxxxxxxxx schválenou státní xxxxxxxxxxx správou země, xxxx být xxxxx x podrobně xxxxxxx xxxxxxxxxxx, který xxxxxxxxxxxx xxxxxxxx xxxxxxxxxx vyšetření.
Laboratory xxxxxx xxxx
Xxx xxxxxx xx xxxxx xxxx xxxxxxx out xxx x xxxxxxxxxxxxx disease xx x xxxxxxxxxxxx xx a xxxxxxxxxx xxxxxxxxxx xx xxx xxxxxxxxxx xxxxxxxxxx xxxxxxx xx xxx xxxxxxx xxxx xx entered xxxxxxx xxx xx xxxxxx xx xxx xxxxxxxxxxxx acting xx xxxxxx xx the xxxxxxxxx xxxxxxxxxx xxx xxxx.
Xxxxxxxxx sanitaires effectués xxx xxx xxxxxxxxxxxx
Xx xxxxxxxx xx tout xxxxxxxx effectué xxx xx xxxxxxxxxxx xxxx xxx xxxxxxx transmissible xx par xx xxxxxxxxxxx xxxxx xxx xx xxxxxxx xxxxxxxxxxx xxxxxxxxxxxxxx xx xxxx xxxx xxxx xxxx xxxxxxxxxx xx xx xxxxxxx xxx xx xxxxxxxxxxx qui représente x´xxxxxxxx demandant xx xxxxxxxx.
_________________________________________________________________________________________
Xxxxxxxxxx xxxxxx Xxxx xxxxxxxxx Xxxxxxxx xxxxxxxxx Xxxxx xxxxxxxxx Autorizovaná xxxxxx- Xxxxx, xxxxxx x
Xxxxx Xxxxxxxxxxxxx Xxxx xx xxxx Result xx xxxx Xxxxxx xxxxxx xxx, xxxxx xxxxxxxxxxx razítko xxxxxxxxxxxxx
Xxxx xxxxxxx tested xxx Xxxxxx xx Xxxxxxxx xx Xxxxxx du xxxxxx lékaře
Maladies x´xxxxxx x´xxxxxx xxxxxxxxx Xxxxxxxx xxxxxxxxxx xx Name, xxxxxxxxx
xxxxxxxxxxxxxx xxxxx xxxxxx xx sent xxx xxxxx xx
xxxxxxxxxx Xxxxxxxxxxx xxxxxxxx xxxxxxxxxxxx
x´xxxxxxx xx Xxx, xxxxxxxxx xx
xxxxxxxxxxx xxxxxx xx
xxxxxxxxxxx
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Xxxxxxxx xxxxx xxxx
1) Xxxxxxxxxxxxx číslo xxxx
Xxxxxxxxxxxxxx No
No d´identification
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) Datum xxxxxxxx
Xxxx xx xxxxxxx
Xxxx xx naissance
9) Xxxxx xxxxxxxx
Xxxxx xxxxx bred
Lieu x´xxxxxxx
10) Xxxxxxxx(x)
Xxxxxxx(x)
Xxxxxxxx(x)
11) Xxxxxxxxx xxx
xxxxxxxxx on
validé xx
- Xxxxx xxxxxxxxxxx xxxxxx
Xxxx xx xxx xxxxxxxxx xxxxxxxxx
Xxx xx x´xxxxxxxx xxxxxxxxx
- Adresa
Address
Adresse
- Xxxxxxx
Xxxxxxxxx Xx
Xxxxxxxx xxxxx
- Fax
Fax xxxxxx
X xx xxxxxxxxx
- Xxxxxx
(xxxxxxx xxxxxxx xxxxx x xxxxxx xxxxxxxxxxx)
Xxxxxxxxx
(Xxxx xx capital xxxxxxx xxx xxxxxxxx xx xxxxxxxxx)
Xxxxxxxxx
(xxx xx xxxxxxx xxxxxxxxx xx qualité xx xxxxxxxxxx)
- Xxxxxxx
Xxxxx
Xxxxxx
12) Xxxxxxxx xxxxx
Xxxxxxxx popis
13) Xxxxx xxx xxxxxx
Xxxxxxxxxxx xxxxx xxxx xxx xx
Xxxxxxxxxxx xxxxxx sous xx xxxx xxx
x) Xxxxx
Xxxx
Xxxx
x) Xxxx přední xxxxxxxxx
Xxxxxxx X
Xxx. X
x) Xxxxx xxxxxx končetina
Foreleg X
Xxx. X
x) Levá xxxxx končetina
Hindleg X
Xxxx X
x) Pravá zadní xxxxxxxxx
Xxxxxxx X
Xxxx D
f) Xxxx
Xxxx
Xxxxx
x) Xxxxxxx
Xxxxxxxx
Xxxxxxx
x) Xxx
Xx
Xx
14) Xxxxxx a razítko xxxxxxxxxxx xxxxxx (velkými xxxxxxx xxxxx xxxxxxxxxxx)
Xxxxxxxxx xxx xxxxx xx xxx xxxxxxxxx authority (xxxx xx signatory xx xxxxxxx letters)
Signature xx cachet du xxxxxxxx competente (xxx xx xxxxxxxxxx xx xxxxxxx capitales)
Potvrzení xxxxxxxxxxxxx xxxxxx o zdravotním xxxxx x xxxxxxxx xxxxxxx x chovu
Veterinary xxxxxxxxxxxxx xxx xxxxxxxxxx xxxxxxxxx/Xxxxxxxxxx sanitaire xxxx xx xxxxxxxxx xxxxxxxx
_________________________________________________________________________________________
Xxxxx Xxxxxxxx xxxxxxxxxx Nákazová xxxxxxx Xxxx xxxxxxxxx, xxxx xxxxxx Jméno, xxxxxx a razítko
vyšetření xxxx x xxxxx x xxxxx určení xxxxxxxxxxxxx xxxxxx
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Xxxxxxxxx xxxxxxxxxxx xxxxxx xxxxxxxxxxx xxxxxx x xxxxxxxx xxxxxxx x xxxxxx
Xxxxxxxxxx xxxxxxxxxxxxx xxx xxxxxxxxxx transport/Certificat xxxxxxxxx xxxx le xxxxxxxxx indigéne
________________________________________________________________________________________
Datum Xxxxxxxx xxxxxxx Doba platnosti, xxxx Xxxxx, xxxxxx x xxxxxxx Místo xxx xxxxxxxx kolku
v xxxxxx x xxxxx xxxxxx veterinárního lékaře
příslušného xxxxxx
xxxxxxxxxxx správy
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Datum Xxxxx X tomuto průkazu xxxx xx přiloženo Xxxxxxx a xxxxxx xxxxxxxxxxxxx lékaře
Date Xxxxx xxxxxxxxxx xxxxxxxxxxx xxxxxxxxx xxxxx: Name, xxxxxxxxx xxx stamp xx xxxxxxxxxxxx
Xxxx Xx this xxxxxxxx is attached xxxxxxxxxx Xxx, xxxxxxxxx xx xxxxxx xx xxxxxxxxxxx
xxxxxxxxxx xxxxxxxxxxx No
Le xxxxxxxx est xxxxxxxxxx xxx certificat
sanitaire xxxxxxxx Xx
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________