Příloha x. 11 x xxxxxxxx x. 357/2001 Sb.
VZOR PRŮKAZU XXXX
Xxxxx o xxxxxxxx
1. Xxx soutěže xx xxxxxx xxxxxxxxxxx xxxx xxxxxxx se xxxxxx xxxxxxxxxxxx xxxx xxxxxxxx.
2. Xxx xxxxx xxxxxxxx xxxx xxx xxxxxx xxxx xx nejdříve xxxxxx xxxxxxxxx xxxxxxxxxx x xxxxxxxx) xxxxx x adresy nového xxxxxxxx x zaregistrování xxxxx.
3. Xxxxx má xxx xxxx než xxxxxxx xxxxxxxx, xxxx xx x xxxxxxx xxxxxxxxxxx, musí xxx x xxxxxxx xxxxxxx xxxxx x xxxxxx xxxxxxxxxxx xxxxx xxxxxxxxx xx koně. Pokud xxxx xxxxxxxx xxxxxxx xxxxxxxx příslušenství, xxxx xxxxx státní xxxxxxxxxxx xxxx.
4. Xxxxxxxx Mezinárodní xxxxxxxx xxxxxxxx xxxxxxx xxxxxxxx koně Národní xxxxxxxxx federací, xxxx xxx xxxxxxxxxxx xxxx xxxxxxxxx xx xxxx xxxxxxx xxxxxxx.
Xxxxxxx xx xxxxxxxxx
1. Xxx competitive xxxxxxxx, the xxxxxxxxxxx xx xxx xxxxx xx xxxx of xxx owner.
2. Xx xxxxxx of xxxxxxxxx xxx passport must xxxxxxxxxxx xx xxxxxx xxxx xxx xxxxxxx xxxxxxxxxxxx, xxxxxxxxxxx or xxxxxxxx xxxxxx, giving xxx name and xxxxxxx xx the xxx xxxxx, xxx xxxxxxxxxxxx xxx xxxxxxxxxx xx xxx xxx xxxxx.
3. Xx there xx xxxx than xxx xxxxx xx xxx horse xx xxxxx xx a xxxxxxx, xxxx xxx xxxx xx the xxxxxxxxxx responsible xxx xxx xxxxx must xx entered xx xxx xxxxxxxx xxxxxxxx xxxx xxx xxxxxxxxxxx. Xx xxx owners xxx of xxxxxxxxx xxxxxxxxxxxxx, xxxx have xx xxxxxxxxx xxx xxxxxxxxxxx xx xxx xxxxx.
4. Xxxx xxx Xxxxxxxxxx équestre xxxxxxxxxxxxxx xxxxxxxx xxx leasing xx x xxxxx xx x xxxxxxxx xxxxxxxxxx federation, xxx xxxxxxx xx these xxxxxxxxxxxx xxxx be xxxxxxxx xx xxx xxxxxxxx equestrian federation xxxxxxxxx.
Xxxxxxx xx xxxxx xx xxxxxxxxx
1. Xxxx xxx compétitions, xx xxxxxxxxxxx xx cheval xxx xxxxx xxx xxx xxxxxxxxxxxx.
2. Xx xxx xx changement xx xxxxxxxxxxxx, xx xxxxxxxxx xxxx etre xxxxxxxxxxxxx xxxxxx auprés xx l´organisation, x´xxxxxxxxxxx xx le xxxxxxx xxxxxxxx x´xxxxx xxxxxxx xxxx xx xxx xx l´adresse xx xxxxxxx xxxxxxxxxxxx xxxx xx xx lui xxxxxxxxxxx aprés xxxxxxxxxxxxxxxx.
3. X´xx x x xxxx x´xx xxxxxxxxxxxx xx xx xx xxxxxx appartient x xxx xxxxxxx, le xxx xx xx xxxxxxxx xxxxxxxxxxx xxxx xx xxxxxx doit xxxx inscrit xxxx xx xxxxxxxxx ainsi xxx sa nationalité. Xx les xxxxxxxxxxxxx xxxx xx xxxxxxxxxxxx xxxxxxxxxxx, xxx doivent xxxxxxxx la xxxxxxxxxxx xx cheval.
4. Xxxxxxx xx Xxxxxxxxxx équestre xxxxxxxxxxxxxx xxxxxxxx xx xxxxxxxx x´xx cheval xxx une Xxxxxxxxxx xxxxxxxx xxxxxxxxx, xxx xxxxxxx xx ces xxxxxxxxxxxx xxxxxxx xxxx xxxxxxxxxxx par xx Xxxxxxxxxx xxxxxxxx nationale xxxxxxxxxx.
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Xxxxx xxxxxxxxxx Jméno xxxxxxxx Xxxxxx xxxxxxxx Xxxxxx příslušnost Xxxxxx xxxxxxxx Xxxxxxx xxxxxxxxx
xxxxxxxxx xxxxxxxxxx Xxxx xx xxxxx Xxxxxxx of xxxxx xxxxxxxx Signature xx xxxxx xxxxxxxxxx x xxxxxx
Xxxx of xxxxxxxxxxxx, Nom xx Xxxxxxx xx Xxxxxxxxxxx xx owner Signature xx Organization,
by the xxxxxxxxxxxx, propriétaire popriétair Xxxxxxxxxxx xx xxxxxxxxxxxx xxxxxxxxxxx xx
xxxxxxxxxxx, xx Xxxxxxxxxxx xx xxxxxxxx xxxxxx xxxxx
xxxxxxxx xxxxxx xxxxxxxxxxxx and xxxxxxxxx
Xxxx x´xxxxxxxxxxxxxx Cachet xx x´xxxxxx-,
xxx l´organisation, xxxxxx, xxxxxxxxxxx
x´xxxxxxxxxxx xx le xx xxxxxxx officiel
service xxxxxxxx xx xxxxxxxxx
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Xxxxx xxxxxxx xxxx
Xxxxxx o xxxxxxxx
Xxxxx xxxxxxxx xxxx xxxx být xxxxxxx x přesně xxxxxxx x xxxx xxxxxxx xxxxxxx x xxxxxxxxx xxxxxx, xxxxxxxx x xxxxxxxx xxxxxxxxxxxxx xxxxxx.
Xxxxxx xxxxxxxx xxxx
Xxxxxxxxxxx xxxxxx
Xxxxxxx xx every vaccination xxxxx xxx horse xxxxxxxxx xxxx xx xxxxxxx clearly xxx xx xxxxxx, xxx xxxxxxxxx with xxx xxxx xxx xxxxxxxxx xx veterinarian.
Grippe xxxxxx xxxxxxxxx
Xxxxxxxxxxxxxx xxx xxxxxxxxxxxx
Xxxxx xxxxxxxxxxx xxxxx xxx xx xxxxxx doit xxxx portée xxxx xx xxxxx ci-dessous xx xxxxx lisible xx xxxxxxx xxxx xx xxx xx xx xxxxxxxxx xx xxxxxxxxxxx.
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Xxxxx Místo Země Xxxxxxx Xxxxx, xxxxxx x razítko
Date Xxxxx Xxxxxxx Xxxxxxx xxxxxxxxxxxxx xxxxxx
Xxxx Xxxx Xxxxxx Xxxx, xxxxxxxxx xxx xxxxx xx
_________________________ xxxxxxxxxxxx
Xxxxx Xxxxx xxxxx Xxx, xxxxxxxxx et cachet xx
Xxxx Xxxxx xxxxxx xxxxxxxxxxx
Xxx Xxxxxx xx xxx
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Xxxxxxxx xxxxxxxxxx koně xxxxxxxxx v xxxxx xxxxxxx
Xxxxxxxx totožnosti xxxx xx xxxxxxxxx kontrolována xxx xxxxxxxxx, dostizích xx xxxxxxxxxxxxx xxxxxxxxxxx. Xxxxxxxxx této strany xxxxxxx, že xxxxx xxxxxxxxxxxx koně xx x xxxxxxx s xxxxxxxxx xxxxxxxxxxx xxxxxxxx xx xxxxxxxxx xxxxxx.
Xxxxxxxxxxxxxx xx xxx horse xxxxxxxxx xx xxxx xxxxxxxxx
Xxx xxxxxxxx xx xxx horse xxxx xx xxxxxxx xxxx xxxx this xx xxxxxxxx by rules xxx regulations xxx xxxxxxxxx xxxx it xxxxxxxx xxxx xxx xxxxxxxxxxx xxxxx xx xxx xxxxxxx xxxx xx xxx passport.
Controles x´xxxxxxxx du cheval xxxxxx xxxx xx xxxxxxxxx
X´xxxxxxxx xx cheval xxxx etre xxxxxxxxx xxxxxx fois xxx xxx xxxx et xxxxxxxxxx l´exigent : xxxxxx cette page xxxxxxxx xxx xx xxxxxxxxxxx du xxxxxx xxxxxxxx xxx xxxxxxxx x celui xx xx paga xx xxxxxxxxxxx.
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Xxxxx xxxxxxxx (xxxx, Xxxxx, xxxxxx x xxxxxx osoby xxxxxxxxx xxxxxxxxx
Xxxxx Xxxx x xxxx xxxxxxxxx xxxx.) Xxxxxxxxx, xxxx (xxxxxxx) xxx xxxxxx xx xxxxxxxx
Xxxx Town xxx Xxxxxxx of xxxxxxx (xxxxx, health xxxxxxxxx xxx identification
country xxxxxxxxxxx, xxx.) Xxxxxxxxx, xxx xx xxxxxxxxx xx xxxxxxx xx xx
Xxxxx xx xxxx Motif xx controle (concours, xxxxxxxx xxxxx xxxxxxx x´xxxxxxxx
xxxxxxxxxx xxxxxxxxx, xxx.)
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Xxxx xxxxxx xxx influenza xxxx
Xxxxxx xxxxxxxx
Xxxxx očkování xxxx xxxx xxx xxxxxxx x xxxxxx xxxxxxx x níže xxxxxxx xxxxxxx a xxxxxxxxx xxxxxx, xxxxxxxx x podpisem xxxxxxxxxxxxx xxxxxx.
Xxxxxxxx xxxxx than xxxxxx influenza
Vaccination xxxxxx
Xxxxxxx xx every xxxxxxxxxxx xxxxx the xxxxx xxxxxxxxx must xx xxxxxxx xxxxxxx and xx detail, xxx xxxxxxxxx with xxx xxxx xxx xxxxxxxxx xx xxxxxxxxxxxx.
Xxxxxxxx xxxxxx xxx xx xxxxxx xxxxxx
Xxxxxxxxxxxxxx des vaccinations
Toute xxxxxxxxxxx xxxxx par xx xxxxxx xxxx xxxx xxxxxx xxxx xx xxxxx xx-xxxxxxx xx xxxxx xxxxxxx xx xxxxxxx avec xx xxx xx xx xxxxxxxxx xx xxxxxxxxxxx.
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Xxxxxxx/Xxxxxxx/Xxxxxx Jméno, xxxxxx x xxxxxxx vererinárního
Datum Xxxxx Xxxx xxxxxx
Xxxx Xxxxx Country _________________________________ Xxxx, xxxxxxxxx xxx xxxxx of
Lieu Xxxx Xxxxx Xxxxx série Xxxxxx(x) xxxxxxxxxxxx
Xxxx Xxxxx xxxxxx Disease(s) Xxx, xxxxxxxxx xx xxxxxx xx xxxxxxxxxxx
Xxx Xxxxxx xx xxx Maladie(s)
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Zdravotní xxxxxxxxx xxxxxxxxx xxxxxxxxxxxxx xxxxxxxxxx
Xxxxxxxx xxxxx xxxxxxxxx, xxxxxxxxxxx xx xxxxxxxx xxxxx xxxxxxxxxxx xxxx xxxxxxxxxx xxxxxxxxxx státní xxxxxxxxxxx xxxxxxx země, xxxx být xxxxx x xxxxxxxx xxxxxxx xxxxxxxxxxx, který xxxxxxxxxxxx xxxxxxxx xxxxxxxxxx vyšetření.
Laboratory xxxxxx xxxx
Xxx xxxxxx xx xxxxx xxxx xxxxxxx xxx xxx x xxxxxxxxxxxxx disease xx x xxxxxxxxxxxx xx x xxxxxxxxxx xxxxxxxxxx by xxx xxxxxxxxxx xxxxxxxxxx xxxxxxx xx xxx xxxxxxx xxxx xx entered xxxxxxx xxx xx xxxxxx xx xxx xxxxxxxxxxxx xxxxxx on xxxxxx xx xxx xxxxxxxxx xxxxxxxxxx xxx xxxx.
Xxxxxxxxx xxxxxxxxxx xxxxxxxxx xxx xxx xxxxxxxxxxxx
Xx xxxxxxxx de xxxx xxxxxxxx xxxxxxxx par xx xxxxxxxxxxx xxxx xxx maladie transmissible xx xxx xx xxxxxxxxxxx xxxxx xxx xx xxxxxxx xxxxxxxxxxx xxxxxxxxxxxxxx du xxxx xxxx xxxx xxxx xxxxxxxxxx xx xx xxxxxxx par le xxxxxxxxxxx xxx xxxxxxxxxx x´xxxxxxxx demandant xx xxxxxxxx.
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Xxxxxxxxxx nákazy Druh xxxxxxxxx Xxxxxxxx xxxxxxxxx Xxxxx protokolu Xxxxxxxxxxxx xxxxxx- Xxxxx, xxxxxx x
Xxxxx Xxxxxxxxxxxxx Xxxx xx xxxx Xxxxxx xx test Xxxxxx xxxxxx xxx, která xxxxxxxxxxx xxxxxxx xxxxxxxxxxxxx
Xxxx xxxxxxx xxxxxx for Xxxxxx xx Résultat xx Xxxxxx du xxxxxx lékaře
Maladies l´examen x´xxxxxx protocole Xxxxxxxx xxxxxxxxxx xx Name, xxxxxxxxx
xxxxxxxxxxxxxx xxxxx xxxxxx xx xxxx xxx xxxxx of
concernées Laboratoire xxxxxxxx xxxxxxxxxxxx
x´xxxxxxx xx Xxx, xxxxxxxxx xx
xxxxxxxxxxx xxxxxx du
vétérinaire
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Základní údaje xxxx
1) Xxxxxxxxxxxxx číslo xxxx
Xxxxxxxxxxxxxx No
No d´identification
2) Xxxxx
Xxxx
Xxx
3) Pohlaví
Sex
Sexe
4) Barva
Colour
Robe
5) Xxxxxxx
Xxxxx
Xxxx
6) Otec
Sire
Pére
7a) Xxxxx 7x) Otec xxxxx
Xxx xx
Xxxx xxx
8) Xxxxx xxxxxxxx
Xxxx xx xxxxxxx
Xxxx xx naissance
9) Xxxxx xxxxxxxx
Xxxxx xxxxx bred
Lieu x´xxxxxxx
10) Xxxxxxxx(x)
Xxxxxxx(x)
Xxxxxxxx(x)
11) Potvrzeno xxx
xxxxxxxxx xx
xxxxxx xx
- Xxxxx příslušného orgánu
Name xx xxx xxxxxxxxx xxxxxxxxx
Xxx de x´xxxxxxxx xxxxxxxxx
- Xxxxxx
Xxxxxxx
Xxxxxxx
- Xxxxxxx
Xxxxxxxxx Xx
Xxxxxxxx phone
- Fax
Fax xxxxxx
X xx xxxxxxxxx
- Xxxxxx
(xxxxxxx písmeny xxxxx x xxxxxx podepsaného)
Signature
(Name xx xxxxxxx letters xxx xxxxxxxx xx xxxxxxxxx)
Xxxxxxxxx
(xxx xx xxxxxxx xxxxxxxxx et xxxxxxx xx signataire)
- Xxxxxxx
Xxxxx
Xxxxxx
12) Xxxxxxxx xxxxx
Xxxxxxxx popis
13) Xxxxx xxx xxxxxx
Xxxxxxxxxxx xxxxx xxxx dam xx
Xxxxxxxxxxx relevé xxxx xx xxxx par
a) Xxxxx
Xxxx
Xxxx
x) Xxxx xxxxxx xxxxxxxxx
Xxxxxxx X
Xxx. G
c) Xxxxx xxxxxx končetina
Foreleg X
Xxx. X
x) Xxxx xxxxx xxxxxxxxx
Xxxxxxx X
Xxxx X
x) Xxxxx zadní xxxxxxxxx
Xxxxxxx X
Xxxx X
x) Xxxx
Xxxx
Xxxxx
x) Odznaky
Markings
Marques
h) Xxx
Xx
Xx
14) Xxxxxx x xxxxxxx xxxxxxxxxxx orgánu (xxxxxxx xxxxxxx jméno xxxxxxxxxxx)
Xxxxxxxxx xxx stamp xx xxx xxxxxxxxx xxxxxxxxx (xxxx of signatory xx capital letters)
Signature xx cachet xx xxxxxxxx xxxxxxxxxx (nom xx xxxxxxxxxx xx xxxxxxx xxxxxxxxx)
Xxxxxxxxx veterinárního xxxxxx x xxxxxxxxxx xxxxx x xxxxxxxx xxxxxxx v xxxxx
Xxxxxxxxxx xxxxxxxxxxxxx for xxxxxxxxxx xxxxxxxxx/Xxxxxxxxxx sanitaire xxxx xx xxxxxxxxx xxxxxxxx
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Xxxxx Xxxxxxxx xxxxxxxxxx Nákazová xxxxxxx Xxxx xxxxxxxxx, xxxx xxxxxx Jméno, xxxxxx a xxxxxxx
xxxxxxxxx xxxx v xxxxx x xxxxx xxxxxx xxxxxxxxxxxxx lékaře
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Potvrzení xxxxxxxxxxx xxxxxx veterinární xxxxxx x xxxxxxxx xxxxxxx x okrese
Veterinary certification xxx intrastate xxxxxxxxx/Xxxxxxxxxx xxxxxxxxx xxxx xx xxxxxxxxx xxxxxxxx
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Xxxxx Nákazová xxxxxxx Xxxx platnosti, xxxx Xxxxx, xxxxxx x xxxxxxx Xxxxx xxx xxxxxxxx xxxxx
x xxxxxx x xxxxx xxxxxx xxxxxxxxxxxxx xxxxxx
xxxxxxxxxxx xxxxxx
xxxxxxxxxxx xxxxxx
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Xxxxx Xxxxx X tomuto průkazu xxxx xx xxxxxxxxx Xxxxxxx x podpis xxxxxxxxxxxxx lékaře
Date Xxxxx xxxxxxxxxx veterinární xxxxxxxxx xxxxx: Xxxx, xxxxxxxxx xxx xxxxx of xxxxxxxxxxxx
Xxxx Xx xxxx xxxxxxxx xx attached xxxxxxxxxx Xxx, xxxxxxxxx xx cachet du xxxxxxxxxxx
xxxxxxxxxx certificate Xx
Xx xxxxxxxx xxx xxxxxxxxxx xxx certificat
sanitaire xxxxxxxx Xx
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