Příloha x. 11 x vyhlášce x. 357/2001 Sb.
VZOR XXXXXXX XXXX
Xxxxx x xxxxxxxx
1. Xxx xxxxxxx xx xxxxxx xxxxxxxxxxx koně xxxxxxx xx státní xxxxxxxxxxxx jeho xxxxxxxx.
2. Xxx xxxxx xxxxxxxx xxxx být xxxxxx xxxx co xxxxxxxx xxxxxx xxxxxxxxx xxxxxxxxxx x xxxxxxxx) xxxxx x xxxxxx nového xxxxxxxx k xxxxxxxxxxxxxx xxxxx.
3. Pokud xx xxx xxxx než xxxxxxx majitele, nebo xx v xxxxxxx xxxxxxxxxxx, xxxx xxx x xxxxxxx xxxxxxx xxxxx x xxxxxx xxxxxxxxxxx xxxxx xxxxxxxxx xx xxxx. Pokud xxxx majitelé xxxxxxx xxxxxxxx xxxxxxxxxxxxx, xxxx xxxxx xxxxxx xxxxxxxxxxx xxxx.
4. Xxxxxxxx Xxxxxxxxxxx xxxxxxxx xxxxxxxx xxxxxxx xxxxxxxx xxxx Xxxxxxx xxxxxxxxx xxxxxxxx, xxxx xxx podrobnosti xxxx xxxxxxxxx xx xxxx xxxxxxx zapsány.
Details of xxxxxxxxx
1. Xxx xxxxxxxxxxx xxxxxxxx, xxx nationality xx xxx xxxxx xx that xx xxx xxxxx.
2. Xx xxxxxx xx ownership xxx passport xxxx xxxxxxxxxxx xx xxxxxx xxxx xxx xxxxxxx xxxxxxxxxxxx, xxxxxxxxxxx xx xxxxxxxx agency, xxxxxx xxx name xxx xxxxxxx xx xxx xxx owner, xxx xxxxxxxxxxxx and forwarding xx the xxx xxxxx.
3. Xx there xx xxxx xxxx xxx xxxxx xx xxx xxxxx xx xxxxx xx x xxxxxxx, xxxx xxx xxxx of xxx xxxxxxxxxx xxxxxxxxxxx for xxx horse must xx entered xx xxx xxxxxxxx together xxxx xxx xxxxxxxxxxx. Xx the xxxxxx xxx xx xxxxxxxxx xxxxxxxxxxxxx, xxxx have xx xxxxxxxxx xxx xxxxxxxxxxx of xxx xxxxx.
4. When xxx Xxxxxxxxxx xxxxxxxx xxxxxxxxxxxxxx xxxxxxxx xxx leasing xx x xxxxx xx x xxxxxxxx xxxxxxxxxx xxxxxxxxxx, xxx xxxxxxx xx these xxxxxxxxxxxx xxxx be xxxxxxxx by xxx xxxxxxxx xxxxxxxxxx federation xxxxxxxxx.
Xxxxxxx de xxxxx xx xxxxxxxxx
1. Pour xxx compétitions, xx xxxxxxxxxxx xx xxxxxx xxx xxxxx den xxx propriétaire.
2. En xxx xx xxxxxxxxxx xx propriétaire, xx xxxxxxxxx xxxx etre xxxxxxxxxxxxx xxxxxx xxxxxx xx x´xxxxxxxxxxxx, x´xxxxxxxxxxx xx xx xxxxxxx xxxxxxxx x´xxxxx xxxxxxx xxxx le nom xx x´xxxxxxx du xxxxxxx propriétaire afin xx le lui xxxxxxxxxxx aprés réenregistrement.
3. X´xx y x xxxx x´xx xxxxxxxxxxxx xx xx le xxxxxx xxxxxxxxxx x xxx xxxxxxx, le xxx xx la xxxxxxxx responsable pour xx cheval xxxx xxxx xxxxxxx xxxx xx xxxxxxxxx xxxxx xxx sa nationalité. Xx les xxxxxxxxxxxxx xxxx de nationalités xxxxxxxxxxx, xxx xxxxxxx xxxxxxxx xx nationalité xx xxxxxx.
4. Lorsque xx Xxxxxxxxxx équestre xxxxxxxxxxxxxx approuve xx xxxxxxxx x´xx cheval xxx xxx Xxxxxxxxxx xxxxxxxx xxxxxxxxx, xxx xxxxxxx xx ces xxxxxxxxxxxx xxxxxxx etre xxxxxxxxxxx par la Xxxxxxxxxx xxxxxxxx nationale xxxxxxxxxx.
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Xxxxx xxxxxxxxxx Xxxxx xxxxxxxx Xxxxxx xxxxxxxx Xxxxxx xxxxxxxxxxx Xxxxxx xxxxxxxx Xxxxxxx xxxxxxxxx
xxxxxxxxx xxxxxxxxxx Xxxx xx xxxxx Address xx xxxxx xxxxxxxx Xxxxxxxxx xx xxxxx xxxxxxxxxx x xxxxxx
Xxxx of xxxxxxxxxxxx, Xxx xx Xxxxxxx du Xxxxxxxxxxx xx xxxxx Signature xx Organization,
by the xxxxxxxxxxxx, xxxxxxxxxxxx popriétair Xxxxxxxxxxx du xxxxxxxxxxxx xxxxxxxxxxx xx
xxxxxxxxxxx, xx Xxxxxxxxxxx xx official xxxxxx xxxxx
xxxxxxxx xxxxxx xxxxxxxxxxxx xxx signature
Date x´xxxxxxxxxxxxxx Xxxxxx xx x´xxxxxx-,
xxx x´xxxxxxxxxxxx, xxxxxx, xxxxxxxxxxx
x´xxxxxxxxxxx xx xx xx service xxxxxxxx
xxxxxxx xxxxxxxx xx signature
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Pouze xxxxxxx xxxx
Xxxxxx x xxxxxxxx
Xxxxx xxxxxxxx xxxx xxxx xxx čitelně x xxxxxx zapsáno x níže xxxxxxx xxxxxxx a xxxxxxxxx xxxxxx, xxxxxxxx x xxxxxxxx xxxxxxxxxxxxx xxxxxx.
Xxxxxx xxxxxxxx xxxx
Xxxxxxxxxxx record
Details xx xxxxx xxxxxxxxxxx xxxxx xxx xxxxx xxxxxxxxx must xx xxxxxxx clearly xxx xx detail, and xxxxxxxxx xxxx the xxxx and xxxxxxxxx xx xxxxxxxxxxxx.
Xxxxxx xxxxxx xxxxxxxxx
Xxxxxxxxxxxxxx xxx xxxxxxxxxxxx
Xxxxx xxxxxxxxxxx xxxxx xxx xx xxxxxx doit xxxx portée xxxx xx cadre ci-dessous xx facon lisible xx précise xxxx xx xxx et xx signature xx xxxxxxxxxxx.
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Xxxxx Místo Země Xxxxxxx Jméno, podpis x xxxxxxx
Xxxx Xxxxx Xxxxxxx Xxxxxxx xxxxxxxxxxxxx xxxxxx
Xxxx Pays Xxxxxx Xxxx, xxxxxxxxx xxx xxxxx xx
_________________________ veterinarian
Název Xxxxx xxxxx Nom, xxxxxxxxx et xxxxxx xx
Xxxx Xxxxx xxxxxx xxxxxxxxxxx
Xxx Numéro du xxx
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Xxxxxxxx totožnosti koně xxxxxxxxx x tomto xxxxxxx
Xxxxxxxx xxxxxxxxxx koně xx zpravidla kontrolována xxx xxxxxxxxx, dostizích xx xxxxxxxxxxxxx xxxxxxxxxxx. Xxxxxxxxx xxxx strany xxxxxxx, xx popis xxxxxxxxxxxx xxxx je x souladu x xxxxxxxxx xxxxxxxxxxx xxxxxxxx xx xxxxxxxxx xxxxxx.
Xxxxxxxxxxxxxx xx xxx xxxxx xxxxxxxxx in xxxx xxxxxxxxx
Xxx xxxxxxxx xx xxx xxxxx xxxx xx xxxxxxx each xxxx xxxx xx xxxxxxxx xx rules xxx xxxxxxxxxxx xxx xxxxxxxxx xxxx it xxxxxxxx xxxx xxx xxxxxxxxxxx given on xxx xxxxxxx page xx xxx xxxxxxxx.
Xxxxxxxxx x´xxxxxxxx du xxxxxx xxxxxx xxxx xx xxxxxxxxx
X´xxxxxxxx du xxxxxx xxxx xxxx xxxxxxxxx xxxxxx fois que xxx lois et xxxxxxxxxx x´xxxxxxx : xxxxxx xxxxx xxxx xxxxxxxx xxx xx xxxxxxxxxxx xx xxxxxx xxxxxxxx xxx xxxxxxxx x xxxxx xx xx xxxx xx xxxxxxxxxxx.
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Xxxxx xxxxxxxx (xxxx, Xxxxx, podpis x xxxxxx osoby xxxxxxxxx xxxxxxxxx
Xxxxx Obec x xxxx xxxxxxxxx xxxx.) Xxxxxxxxx, xxxx (xxxxxxx) xxx xxxxxx of xxxxxxxx
Xxxx Town xxx Xxxxxxx xx xxxxxxx (xxxxx, health verifying xxx identification
country certificate, xxx.) Xxxxxxxxx, xxx xx xxxxxxxxx xx xxxxxxx xx xx
Xxxxx xx xxxx Xxxxx xx xxxxxxxx (xxxxxxxx, xxxxxxxx ayant xxxxxxx x´xxxxxxxx
xxxxxxxxxx xxxxxxxxx, xxx.)
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Xxxx xxxxxx xxx xxxxxxxxx xxxx
Xxxxxx xxxxxxxx
Xxxxx xxxxxxxx xxxx musí xxx xxxxxxx a xxxxxx xxxxxxx v xxxx xxxxxxx xxxxxxx x xxxxxxxxx xxxxxx, xxxxxxxx x podpisem xxxxxxxxxxxxx xxxxxx.
Xxxxxxxx xxxxx than xxxxxx xxxxxxxxx
Xxxxxxxxxxx record
Details xx every xxxxxxxxxxx xxxxx the xxxxx xxxxxxxxx xxxx xx xxxxxxx xxxxxxx and xx xxxxxx, and xxxxxxxxx with the xxxx xxx xxxxxxxxx xx xxxxxxxxxxxx.
Xxxxxxxx autres xxx xx xxxxxx xxxxxx
Xxxxxxxxxxxxxx xxx xxxxxxxxxxxx
Xxxxx xxxxxxxxxxx xxxxx xxx xx xxxxxx xxxx xxxx xxxxxx xxxx xx xxxxx xx-xxxxxxx xx xxxxx lisible xx xxxxxxx avec xx xxx et xx signature du xxxxxxxxxxx.
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Xxxxxxx/Xxxxxxx/Xxxxxx Xxxxx, xxxxxx x xxxxxxx xxxxxxxxxxxxx
Xxxxx Xxxxx Xxxx lékaře
Date Xxxxx Xxxxxxx _________________________________ Xxxx, xxxxxxxxx and xxxxx xx
Xxxx Xxxx Xxxxx Číslo xxxxx Xxxxxx(x) xxxxxxxxxxxx
Xxxx Batch xxxxxx Disease(s) Nom, xxxxxxxxx xx cachet xx vétérinaire
Nom Xxxxxx xx xxx Xxxxxxx(x)
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Xxxxxxxxx xxxxxxxxx provedené xxxxxxxxxxxxx xxxxxxxxxx
Xxxxxxxx xxxxx xxxxxxxxx, xxxxxxxxxxx xx xxxxxxxx xxxxx xxxxxxxxxxx nebo xxxxxxxxxx xxxxxxxxxx xxxxxx xxxxxxxxxxx správou země, xxxx xxx xxxxx x xxxxxxxx zapsány xxxxxxxxxxx, xxxxx xxxxxxxxxxxx xxxxxxxx požadující vyšetření.
Laboratory xxxxxx xxxx
Xxx result xx xxxxx xxxx xxxxxxx xxx xxx x transmissible disease xx a veterinarian xx x laboratory xxxxxxxxxx xx the xxxxxxxxxx xxxxxxxxxx xxxxxxx xx xxx xxxxxxx xxxx xx xxxxxxx xxxxxxx xxx in xxxxxx by xxx xxxxxxxxxxxx xxxxxx xx xxxxxx xx xxx xxxxxxxxx xxxxxxxxxx xxx xxxx.
Xxxxxxxxx xxxxxxxxxx effectués xxx xxx laboratoires
Le xxxxxxxx xx xxxx xxxxxxxx xxxxxxxx xxx xx xxxxxxxxxxx xxxx xxx maladie xxxxxxxxxxxxx xx xxx xx xxxxxxxxxxx agréé par xx xxxxxxx xxxxxxxxxxx xxxxxxxxxxxxxx du xxxx xxxx xxxx xxxx xxxxxxxxxx xx en xxxxxxx xxx le xxxxxxxxxxx xxx xxxxxxxxxx x´xxxxxxxx xxxxxxxxx xx xxxxxxxx.
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Xxxxxxxxxx xxxxxx Xxxx xxxxxxxxx Xxxxxxxx xxxxxxxxx Xxxxx xxxxxxxxx Autorizovaná xxxxxx- Jméno, xxxxxx x
Xxxxx Xxxxxxxxxxxxx Xxxx xx xxxx Xxxxxx xx xxxx Xxxxxx xxxxxx xxx, která xxxxxxxxxxx xxxxxxx xxxxxxxxxxxxx
Xxxx xxxxxxx xxxxxx for Xxxxxx xx Xxxxxxxx xx Xxxxxx xx xxxxxx xxxxxx
Xxxxxxxx l´examen x´xxxxxx xxxxxxxxx Xxxxxxxx xxxxxxxxxx xx Name, xxxxxxxxx
xxxxxxxxxxxxxx which xxxxxx xx sent xxx xxxxx xx
xxxxxxxxxx Laboratoire xxxxxxxx xxxxxxxxxxxx
x´xxxxxxx xx Xxx, xxxxxxxxx xx
xxxxxxxxxxx xxxxxx xx
xxxxxxxxxxx
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Xxxxxxxx údaje xxxx
1) Xxxxxxxxxxxxx xxxxx xxxx
Xxxxxxxxxxxxxx No
No x´xxxxxxxxxxxxxx
2) Xxxxx
Xxxx
Xxx
3) Pohlaví
Sex
Sexe
4) Xxxxx
Xxxxxx
Xxxx
5) Xxxxxxx
Xxxxx
Xxxx
6) Xxxx
Xxxx
Xxxx
7x) Xxxxx 7x) Xxxx matky
Dam xx
Xxxx xxx
8) Datum xxxxxxxx
Xxxx xx xxxxxxx
Xxxx xx xxxxxxxxx
9) Xxxxx xxxxxxxx
Xxxxx xxxxx bred
Lieu x´xxxxxxx
10) Xxxxxxxx(x)
Xxxxxxx(x)
Xxxxxxxx(x)
11) Xxxxxxxxx xxx
xxxxxxxxx xx
xxxxxx xx
- Xxxxx příslušného orgánu
Name xx xxx xxxxxxxxx xxxxxxxxx
Xxx xx l´autorité xxxxxxxxx
- Adresa
Address
Adresse
- Xxxxxxx
Xxxxxxxxx Xx
Xxxxxxxx xxxxx
- Xxx
Xxx xxxxxx
X de télécopie
- Xxxxxx
(xxxxxxx xxxxxxx xxxxx x funkce xxxxxxxxxxx)
Xxxxxxxxx
(Xxxx xx xxxxxxx letters xxx xxxxxxxx xx xxxxxxxxx)
Xxxxxxxxx
(xxx xx xxxxxxx xxxxxxxxx xx xxxxxxx xx xxxxxxxxxx)
- Xxxxxxx
Xxxxx
Xxxxxx
12) Xxxxxxxx popis
Grafický xxxxx
13) Xxxxx xxx matkou
Description xxxxx xxxx dam xx
Xxxxxxxxxxx xxxxxx sous xx xxxx par
a) Xxxxx
Xxxx
Xxxx
x) Xxxx přední xxxxxxxxx
Xxxxxxx X
Xxx. X
x) Xxxxx přední končetina
Foreleg X
Xxx. D
d) Xxxx xxxxx xxxxxxxxx
Xxxxxxx X
Xxxx X
x) Xxxxx xxxxx xxxxxxxxx
Xxxxxxx X
Xxxx X
x) Xxxx
Xxxx
Xxxxx
x) Odznaky
Markings
Marques
h) Dne
On
Le
14) Xxxxxx a xxxxxxx xxxxxxxxxxx xxxxxx (velkými xxxxxxx jméno podepsaného)
Signature xxx xxxxx xx xxx xxxxxxxxx xxxxxxxxx (xxxx xx signatory xx xxxxxxx xxxxxxx)
Xxxxxxxxx xx xxxxxx xx xxxxxxxx xxxxxxxxxx (xxx xx xxxxxxxxxx xx xxxxxxx capitales)
Potvrzení xxxxxxxxxxxxx xxxxxx x xxxxxxxxxx xxxxx x xxxxxxxx xxxxxxx x chovu
Veterinary xxxxxxxxxxxxx xxx intrastate xxxxxxxxx/Xxxxxxxxxx xxxxxxxxx xxxx xx xxxxxxxxx indigéne
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Datum Xxxxxxxx xxxxxxxxxx Xxxxxxxx xxxxxxx Xxxx platnosti, xxxx xxxxxx Xxxxx, xxxxxx a xxxxxxx
xxxxxxxxx xxxx v chovu x xxxxx xxxxxx xxxxxxxxxxxxx xxxxxx
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Xxxxxxxxx příslušného xxxxxx xxxxxxxxxxx správy x xxxxxxxx xxxxxxx x xxxxxx
Xxxxxxxxxx certification xxx xxxxxxxxxx xxxxxxxxx/Xxxxxxxxxx xxxxxxxxx xxxx xx xxxxxxxxx xxxxxxxx
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Xxxxx Xxxxxxxx xxxxxxx Xxxx xxxxxxxxx, xxxx Jméno, xxxxxx x razítko Místo xxx xxxxxxxx xxxxx
x xxxxxx x xxxxx xxxxxx xxxxxxxxxxxxx lékaře
příslušného xxxxxx
xxxxxxxxxxx xxxxxx
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Xxxxx Xxxxx X tomuto průkazu xxxx je přiloženo Xxxxxxx a xxxxxx xxxxxxxxxxxxx xxxxxx
Xxxx Xxxxx xxxxxxxxxx veterinární xxxxxxxxx xxxxx: Xxxx, signature xxx xxxxx xx xxxxxxxxxxxx
Xxxx Xx xxxx xxxxxxxx is attached xxxxxxxxxx Xxx, xxxxxxxxx xx cachet xx xxxxxxxxxxx
xxxxxxxxxx certificate No
Le xxxxxxxx est xxxxxxxxxx xxx xxxxxxxxxx
xxxxxxxxx officiel Xx
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