Příloha č. 11 x xxxxxxxx č. 357/2001 Xx.
XXXX XXXXXXX XXXX
Xxxxx x xxxxxxxx
1. Xxx soutěže je xxxxxx xxxxxxxxxxx xxxx xxxxxxx se xxxxxx xxxxxxxxxxxx jeho xxxxxxxx.
2. Xxx xxxxx majitele xxxx xxx průkaz xxxx co xxxxxxxx xxxxxx xxxxxxxxx organizaci x xxxxxxxx) xxxxx x xxxxxx xxxxxx xxxxxxxx x zaregistrování xxxxx.
3. Pokud xx xxx více než xxxxxxx majitele, xxxx xx x xxxxxxx xxxxxxxxxxx, musí být x xxxxxxx xxxxxxx xxxxx x státní xxxxxxxxxxx xxxxx odpovědné xx xxxx. Xxxxx xxxx majitelé xxxxxxx xxxxxxxx xxxxxxxxxxxxx, xxxx xxxxx xxxxxx příslušnost xxxx.
4. Xxxxxxxx Xxxxxxxxxxx xxxxxxxx xxxxxxxx xxxxxxx xxxxxxxx xxxx Xxxxxxx xxxxxxxxx xxxxxxxx, xxxx xxx xxxxxxxxxxx této xxxxxxxxx xx xxxx xxxxxxx xxxxxxx.
Xxxxxxx xx xxxxxxxxx
1. For xxxxxxxxxxx xxxxxxxx, xxx nationality xx xxx xxxxx xx that xx xxx owner.
2. On xxxxxx xx xxxxxxxxx xxx passport xxxx xxxxxxxxxxx be lodged xxxx xxx xxxxxxx xxxxxxxxxxxx, association xx xxxxxxxx xxxxxx, xxxxxx xxx xxxx xxx xxxxxxx of xxx xxx owner, xxx xxxxxxxxxxxx and xxxxxxxxxx xx xxx new xxxxx.
3. Xx there xx xxxx than xxx owner xx xxx xxxxx xx xxxxx xx x xxxxxxx, xxxx xxx xxxx of the xxxxxxxxxx xxxxxxxxxxx for xxx xxxxx xxxx xx entered in xxx passport xxxxxxxx xxxx xxx xxxxxxxxxxx. Xx xxx xxxxxx xxx xx different xxxxxxxxxxxxx, xxxx xxxx xx xxxxxxxxx xxx xxxxxxxxxxx xx xxx xxxxx.
4. When xxx Xxxxxxxxxx équestre xxxxxxxxxxxxxx xxxxxxxx xxx xxxxxxx xx x xxxxx xx x xxxxxxxx xxxxxxxxxx federation, the xxxxxxx xx xxxxx xxxxxxxxxxxx xxxx xx xxxxxxxx by xxx xxxxxxxx xxxxxxxxxx federation xxxxxxxxx.
Xxxxxxx de droit xx xxxxxxxxx
1. Pour xxx xxxxxxxxxxxx, la xxxxxxxxxxx xx cheval xxx xxxxx den xxx propriétaire.
2. Xx xxx xx xxxxxxxxxx xx xxxxxxxxxxxx, xx xxxxxxxxx xxxx xxxx xxxxxxxxxxxxx xxxxxx auprés xx l´organisation, l´association xx xx xxxxxxx xxxxxxxx x´xxxxx xxxxxxx xxxx xx xxx xx x´xxxxxxx xx xxxxxxx propriétaire xxxx xx le lui xxxxxxxxxxx xxxxx xxxxxxxxxxxxxxxx.
3. X´xx y a xxxx d´un xxxxxxxxxxxx xx xx xx xxxxxx xxxxxxxxxx x xxx société, le xxx de xx xxxxxxxx responsable xxxx xx xxxxxx xxxx xxxx inscrit dans xx xxxxxxxxx xxxxx xxx xx nationalité. Xx xxx propriétaires xxxx de xxxxxxxxxxxx xxxxxxxxxxx, xxx doivent xxxxxxxx xx xxxxxxxxxxx xx xxxxxx.
4. Xxxxxxx xx Fédération xxxxxxxx xxxxxxxxxxxxxx xxxxxxxx la xxxxxxxx x´xx cheval xxx xxx Xxxxxxxxxx xxxxxxxx xxxxxxxxx, xxx xxxxxxx xx ces xxxxxxxxxxxx xxxxxxx etre xxxxxxxxxxx par la Xxxxxxxxxx xxxxxxxx xxxxxxxxx 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 xxxxxxxx Xxxxxxxxx xx owner organizace x podpis
Date of xxxxxxxxxxxx, Xxx xx Xxxxxxx xx Xxxxxxxxxxx xx xxxxx Signature xx Xxxxxxxxxxxx,
xx xxx xxxxxxxxxxxx, xxxxxxxxxxxx popriétair Xxxxxxxxxxx du xxxxxxxxxxxx xxxxxxxxxxx xx
xxxxxxxxxxx, xx Xxxxxxxxxxx du official xxxxxx stamp
official xxxxxx xxxxxxxxxxxx and xxxxxxxxx
Xxxx x´xxxxxxxxxxxxxx Cachet de x´xxxxxx-,
xxx x´xxxxxxxxxxxx, xxxxxx, xxxxxxxxxxx
x´xxxxxxxxxxx ou le xx service xxxxxxxx
xxxxxxx xxxxxxxx xx xxxxxxxxx
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Xxxxx xxxxxxx xxxx
Xxxxxx o xxxxxxxx
Xxxxx xxxxxxxx xxxx xxxx xxx xxxxxxx x xxxxxx xxxxxxx x níže xxxxxxx xxxxxxx x xxxxxxxxx xxxxxx, podpisem x xxxxxxxx xxxxxxxxxxxxx xxxxxx.
Xxxxxx xxxxxxxx xxxx
Xxxxxxxxxxx xxxxxx
Xxxxxxx xx xxxxx xxxxxxxxxxx xxxxx the xxxxx xxxxxxxxx xxxx be xxxxxxx clearly and xx detail, xxx xxxxxxxxx xxxx the xxxx xxx signature xx xxxxxxxxxxxx.
Xxxxxx équine xxxxxxxxx
Xxxxxxxxxxxxxx xxx xxxxxxxxxxxx
Xxxxx xxxxxxxxxxx xxxxx xxx xx cheval xxxx xxxx portée xxxx xx xxxxx ci-dessous xx facon xxxxxxx xx xxxxxxx xxxx xx xxx et xx xxxxxxxxx du xxxxxxxxxxx.
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Xxxxx Xxxxx Xxxx Xxxxxxx Xxxxx, podpis x razítko
Date Xxxxx Xxxxxxx Xxxxxxx xxxxxxxxxxxxx xxxxxx
Xxxx Xxxx Xxxxxx Xxxx, xxxxxxxxx xxx xxxxx xx
_________________________ xxxxxxxxxxxx
Xxxxx Xxxxx xxxxx Nom, xxxxxxxxx xx xxxxxx xx
Xxxx Xxxxx xxxxxx xxxxxxxxxxx
Xxx Xxxxxx xx xxx
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Xxxxxxxx totožnosti xxxx xxxxxxxxx x xxxxx xxxxxxx
Xxxxxxxx xxxxxxxxxx koně xx xxxxxxxxx xxxxxxxxxxxx xxx xxxxxxxxx, xxxxxxxxx xx xxxxxxxxxxxxx xxxxxxxxxxx. Xxxxxxxxx této xxxxxx xxxxxxx, že xxxxx xxxxxxxxxxxx koně xx x xxxxxxx x xxxxxxxxx xxxxxxxxxxx xxxxxxxx xx xxxxxxxxx xxxxxx.
Xxxxxxxxxxxxxx xx xxx xxxxx xxxxxxxxx in xxxx xxxxxxxxx
Xxx xxxxxxxx of xxx xxxxx must xx checked xxxx xxxx xxxx xx xxxxxxxx xx xxxxx xxx xxxxxxxxxxx xxx xxxxxxxxx xxxx it xxxxxxxx xxxx xxx xxxxxxxxxxx xxxxx xx xxx xxxxxxx xxxx xx xxx passport.
Controles x´xxxxxxxx xx xxxxxx xxxxxx xxxx xx xxxxxxxxx
X´xxxxxxxx xx xxxxxx xxxx etre controlée xxxxxx fois xxx xxx xxxx xx xxxxxxxxxx x´xxxxxxx : xxxxxx xxxxx xxxx xxxxxxxx que xx xxxxxxxxxxx du cheval xxxxxxxx xxx conforme x celui xx xx xxxx xx xxxxxxxxxxx.
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Xxxxx xxxxxxxx (xxxx, Xxxxx, xxxxxx x xxxxxx xxxxx ověřující xxxxxxxxx
Xxxxx Xxxx a xxxx xxxxxxxxx xxxx.) Xxxxxxxxx, xxxx (printed) xxx xxxxxx of xxxxxxxx
Xxxx Xxxx xxx Xxxxxxx of xxxxxxx (xxxxx, xxxxxx xxxxxxxxx xxx xxxxxxxxxxxxxx
xxxxxxx certificate, xxx.) Xxxxxxxxx, xxx xx xxxxxxxxx et xxxxxxx de xx
Xxxxx xx xxxx Xxxxx xx controle (concours, xxxxxxxx ayant xxxxxxx x´xxxxxxxx
xxxxxxxxxx xxxxxxxxx, xxx.)
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Xxxx xxxxxx než xxxxxxxxx xxxx
Xxxxxx xxxxxxxx
Xxxxx xxxxxxxx xxxx xxxx být xxxxxxx a xxxxxx xxxxxxx v xxxx xxxxxxx xxxxxxx x xxxxxxxxx jménem, xxxxxxxx x xxxxxxxx xxxxxxxxxxxxx xxxxxx.
Xxxxxxxx xxxxx xxxx xxxxxx influenza
Vaccination xxxxxx
Xxxxxxx xx xxxxx xxxxxxxxxxx xxxxx xxx horse xxxxxxxxx xxxx xx xxxxxxx clearly xxx xx xxxxxx, and xxxxxxxxx with xxx xxxx and xxxxxxxxx xx veterinarian.
Maladies xxxxxx xxx la xxxxxx xxxxxx
Xxxxxxxxxxxxxx xxx xxxxxxxxxxxx
Xxxxx xxxxxxxxxxx xxxxx xxx xx xxxxxx xxxx xxxx xxxxxx xxxx xx cadre xx-xxxxxxx xx xxxxx xxxxxxx xx xxxxxxx xxxx xx xxx xx xx xxxxxxxxx xx xxxxxxxxxxx.
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Xxxxxxx/Xxxxxxx/Xxxxxx Jméno, podpis x razítko xxxxxxxxxxxxx
Xxxxx Xxxxx Xxxx xxxxxx
Xxxx Xxxxx Xxxxxxx _________________________________ Xxxx, xxxxxxxxx xxx xxxxx xx
Xxxx Xxxx Xxxxx Xxxxx série Xxxxxx(x) veterinarian
Name Xxxxx xxxxxx Disease(s) Xxx, xxxxxxxxx xx cachet xx vétérinaire
Nom Numéro xx lot Xxxxxxx(x)
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Xxxxxxxxx xxxxxxxxx xxxxxxxxx autorizovanou xxxxxxxxxx
Xxxxxxxx všech vyšetření, xxxxxxxxxxx na xxxxxxxx xxxxx xxxxxxxxxxx xxxx xxxxxxxxxx xxxxxxxxxx státní xxxxxxxxxxx správou xxxx, xxxx být xxxxx x xxxxxxxx xxxxxxx xxxxxxxxxxx, xxxxx xxxxxxxxxxxx xxxxxxxx xxxxxxxxxx vyšetření.
Laboratory xxxxxx xxxx
Xxx xxxxxx xx every xxxx xxxxxxx xxx xxx x xxxxxxxxxxxxx xxxxxxx xx a veterinarian xx a xxxxxxxxxx xxxxxxxxxx xx xxx xxxxxxxxxx veterinary xxxxxxx xx the country xxxx be xxxxxxx xxxxxxx xxx in xxxxxx xx trh xxxxxxxxxxxx xxxxxx xx xxxxxx of xxx xxxxxxxxx requesting xxx xxxx.
Xxxxxxxxx xxxxxxxxxx xxxxxxxxx xxx des laboratoires
Le xxxxxxxx de xxxx xxxxxxxx xxxxxxxx xxx xx xxxxxxxxxxx pour xxx xxxxxxx transmissible xx xxx xx xxxxxxxxxxx xxxxx par xx xxxxxxx xxxxxxxxxxx xxxxxxxxxxxxxx du xxxx xxxx xxxx noté xxxxxxxxxx xx xx xxxxxxx xxx xx xxxxxxxxxxx qui xxxxxxxxxx x´xxxxxxxx demandant le xxxxxxxx.
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Xxxxxxxxxx xxxxxx Druh xxxxxxxxx Xxxxxxxx xxxxxxxxx Xxxxx xxxxxxxxx Autorizovaná xxxxxx- Xxxxx, xxxxxx x
Xxxxx Transmissible Xxxx xx xxxx Xxxxxx xx xxxx Xxxxxx xxxxxx toř, která xxxxxxxxxxx xxxxxxx xxxxxxxxxxxxx
Xxxx xxxxxxx tested xxx Xxxxxx xx Xxxxxxxx xx Xxxxxx du xxxxxx lékaře
Maladies x´xxxxxx x´xxxxxx xxxxxxxxx Official xxxxxxxxxx to Xxxx, xxxxxxxxx
xxxxxxxxxxxxxx xxxxx sample xx sent xxx xxxxx of
concernées Laboratoire xxxxxxxx xxxxxxxxxxxx
x´xxxxxxx xx Xxx, signature xx
xxxxxxxxxxx xxxxxx xx
xxxxxxxxxxx
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Xxxxxxxx údaje 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) Otec
Sire
Pére
7a) Xxxxx 7x) Xxxx matky
Dam xx
Xxxx xxx
8) Datum xxxxxxxx
Xxxx xx foaling
Date xx xxxxxxxxx
9) Xxxxx xxxxxxxx
Xxxxx xxxxx xxxx
Xxxx x´xxxxxxx
10) Xxxxxxxx(x)
Xxxxxxx(x)
Xxxxxxxx(x)
11) Xxxxxxxxx xxx
xxxxxxxxx xx
xxxxxx le
- Xxxxx příslušného xxxxxx
Xxxx xx xxx xxxxxxxxx xxxxxxxxx
Xxx de l´autorité xxxxxxxxx
- Adresa
Address
Adresse
- Xxxxxxx
Xxxxxxxxx Xx
Xxxxxxxx phone
- Fax
Fax xxxxxx
X xx télécopie
- Xxxxxx
(xxxxxxx xxxxxxx xxxxx x xxxxxx xxxxxxxxxxx)
Xxxxxxxxx
(Xxxx xx xxxxxxx xxxxxxx xxx xxxxxxxx of xxxxxxxxx)
Xxxxxxxxx
(xxx xx lettres xxxxxxxxx xx xxxxxxx xx xxxxxxxxxx)
- Xxxxxxx
Xxxxx
Xxxxxx
12) Xxxxxxxx xxxxx
Xxxxxxxx xxxxx
13) Xxxxx xxx matkou
Description xxxxx xxxx xxx xx
Xxxxxxxxxxx relevé xxxx xx xxxx par
a) Xxxxx
Xxxx
Xxxx
x) Xxxx xxxxxx xxxxxxxxx
Xxxxxxx X
Xxx. G
c) Xxxxx xxxxxx xxxxxxxxx
Xxxxxxx X
Xxx. X
x) Levá xxxxx xxxxxxxxx
Xxxxxxx L
Post X
x) Pravá zadní 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 xxxxxxxxxxx)
Xxxxxxxxx xxx xxxxx xx xxx xxxxxxxxx xxxxxxxxx (xxxx xx xxxxxxxxx xx xxxxxxx xxxxxxx)
Xxxxxxxxx xx xxxxxx du xxxxxxxx xxxxxxxxxx (nom xx signataire xx xxxxxxx xxxxxxxxx)
Xxxxxxxxx xxxxxxxxxxxxx xxxxxx x xxxxxxxxxx xxxxx x xxxxxxxx xxxxxxx x xxxxx
Xxxxxxxxxx xxxxxxxxxxxxx xxx xxxxxxxxxx xxxxxxxxx/Xxxxxxxxxx sanitaire pour xx xxxxxxxxx indigéne
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Datum Xxxxxxxx xxxxxxxxxx Xxxxxxxx xxxxxxx Doba platnosti, xxxx xxxxxx Xxxxx, xxxxxx x xxxxxxx
xxxxxxxxx xxxx v chovu x místo určení xxxxxxxxxxxxx lékaře
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Potvrzení xxxxxxxxxxx xxxxxx veterinární xxxxxx x nákazové xxxxxxx x xxxxxx
Xxxxxxxxxx xxxxxxxxxxxxx xxx xxxxxxxxxx xxxxxxxxx/Xxxxxxxxxx xxxxxxxxx pour xx xxxxxxxxx indigéne
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Datum Xxxxxxxx xxxxxxx Xxxx platnosti, xxxx Jméno, xxxxxx x razítko Xxxxx xxx xxxxxxxx xxxxx
x xxxxxx x xxxxx xxxxxx xxxxxxxxxxxxx lékaře
příslušného xxxxxx
xxxxxxxxxxx xxxxxx
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Xxxxx Místo X tomuto xxxxxxx xxxx xx xxxxxxxxx Xxxxxxx x podpis xxxxxxxxxxxxx xxxxxx
Xxxx Place xxxxxxxxxx xxxxxxxxxxx osvědčení xxxxx: Xxxx, xxxxxxxxx xxx xxxxx xx xxxxxxxxxxxx
Xxxx To xxxx xxxxxxxx is xxxxxxxx xxxxxxxxxx Xxx, xxxxxxxxx xx xxxxxx xx xxxxxxxxxxx
xxxxxxxxxx certificate No
Le xxxxxxxx est xxxxxxxxxx xxx xxxxxxxxxx
xxxxxxxxx officiel Xx
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