Příloha č. 11 x xxxxxxxx č. 357/2001 Sb.
VZOR XXXXXXX XXXX
Xxxxx x xxxxxxxx
1. Xxx xxxxxxx xx xxxxxx xxxxxxxxxxx xxxx xxxxxxx se xxxxxx xxxxxxxxxxxx xxxx xxxxxxxx.
2. Xxx xxxxx xxxxxxxx xxxx být xxxxxx xxxx xx xxxxxxxx xxxxxx xxxxxxxxx xxxxxxxxxx x xxxxxxxx) jména x xxxxxx xxxxxx xxxxxxxx x xxxxxxxxxxxxxx xxxxx.
3. Xxxxx xx xxx více xxx xxxxxxx xxxxxxxx, nebo xx x xxxxxxx xxxxxxxxxxx, xxxx xxx x xxxxxxx uvedeno xxxxx a xxxxxx xxxxxxxxxxx osoby xxxxxxxxx xx xxxx. Pokud xxxx majitelé různých xxxxxxxx xxxxxxxxxxxxx, xxxx xxxxx xxxxxx xxxxxxxxxxx xxxx.
4. Xxxxxxxx Xxxxxxxxxxx xxxxxxxx xxxxxxxx schválí xxxxxxxx xxxx Národní xxxxxxxxx xxxxxxxx, xxxx xxx podrobnosti xxxx xxxxxxxxx xx této xxxxxxx zapsány.
Details of xxxxxxxxx
1. Xxx competitive xxxxxxxx, xxx xxxxxxxxxxx xx xxx xxxxx xx xxxx of xxx xxxxx.
2. Xx xxxxxx xx ownership xxx xxxxxxxx xxxx xxxxxxxxxxx xx xxxxxx xxxx xxx xxxxxxx xxxxxxxxxxxx, association xx xxxxxxxx xxxxxx, xxxxxx xxx name xxx xxxxxxx of the xxx xxxxx, xxx xxxxxxxxxxxx and xxxxxxxxxx xx xxx xxx xxxxx.
3. Xx xxxxx xx xxxx xxxx xxx xxxxx xx xxx horse is xxxxx xx x xxxxxxx, then xxx xxxx xx xxx xxxxxxxxxx xxxxxxxxxxx xxx xxx xxxxx xxxx xx xxxxxxx xx xxx xxxxxxxx together xxxx xxx xxxxxxxxxxx. Xx xxx xxxxxx xxx of different xxxxxxxxxxxxx, xxxx xxxx xx xxxxxxxxx xxx xxxxxxxxxxx xx xxx xxxxx.
4. When xxx Xxxxxxxxxx xxxxxxxx xxxxxxxxxxxxxx xxxxxxxx the xxxxxxx xx a xxxxx xx a xxxxxxxx xxxxxxxxxx xxxxxxxxxx, the xxxxxxx xx these xxxxxxxxxxxx xxxx be xxxxxxxx by xxx xxxxxxxx xxxxxxxxxx xxxxxxxxxx xxxxxxxxx.
Xxxxxxx xx xxxxx xx xxxxxxxxx
1. Xxxx xxx compétitions, xx xxxxxxxxxxx xx cheval xxx xxxxx den xxx xxxxxxxxxxxx.
2. Xx xxx xx xxxxxxxxxx xx xxxxxxxxxxxx, le xxxxxxxxx doit etre xxxxxxxxxxxxx xxxxxx xxxxxx xx x´xxxxxxxxxxxx, x´xxxxxxxxxxx xx xx service xxxxxxxx x´xxxxx xxxxxxx xxxx xx xxx xx x´xxxxxxx xx xxxxxxx xxxxxxxxxxxx xxxx xx xx lui xxxxxxxxxxx xxxxx xxxxxxxxxxxxxxxx.
3. X´xx x x xxxx x´xx propriétaire xx xx le xxxxxx xxxxxxxxxx x xxx xxxxxxx, xx xxx de xx xxxxxxxx xxxxxxxxxxx xxxx xx cheval doit xxxx xxxxxxx xxxx xx xxxxxxxxx ainsi xxx sa xxxxxxxxxxx. Xx les xxxxxxxxxxxxx xxxx de nationalités xxxxxxxxxxx, xxx doivent xxxxxxxx xx xxxxxxxxxxx xx xxxxxx.
4. Lorsque xx Fédération xxxxxxxx xxxxxxxxxxxxxx xxxxxxxx xx xxxxxxxx x´xx xxxxxx xxx xxx Xxxxxxxxxx xxxxxxxx xxxxxxxxx, xxx xxxxxxx xx xxx xxxxxxxxxxxx doivent etre xxxxxxxxxxx xxx xx Xxxxxxxxxx xxxxxxxx nationale xxxxxxxxxx.
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Xxxxx xxxxxxxxxx Xxxxx xxxxxxxx Adresa majitele Xxxxxx xxxxxxxxxxx Xxxxxx xxxxxxxx Xxxxxxx xxxxxxxxx
xxxxxxxxx xxxxxxxxxx Name xx xxxxx Xxxxxxx of xxxxx majitele Signature xx xxxxx organizace x xxxxxx
Xxxx xx xxxxxxxxxxxx, Xxx xx Xxxxxxx du Nationality xx xxxxx Signature xx Xxxxxxxxxxxx,
xx xxx xxxxxxxxxxxx, xxxxxxxxxxxx xxxxxxxxxx Xxxxxxxxxxx du xxxxxxxxxxxx xxxxxxxxxxx or
association, xx Xxxxxxxxxxx du xxxxxxxx xxxxxx xxxxx
xxxxxxxx xxxxxx xxxxxxxxxxxx xxx signature
Date x´xxxxxxxxxxxxxx Xxxxxx xx x´xxxxxx-,
xxx l´organisation, sation, xxxxxxxxxxx
x´xxxxxxxxxxx xx xx xx service officiel
service xxxxxxxx xx xxxxxxxxx
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Xxxxx xxxxxxx xxxx
Xxxxxx x xxxxxxxx
Xxxxx xxxxxxxx xxxx xxxx xxx xxxxxxx x xxxxxx xxxxxxx x xxxx xxxxxxx xxxxxxx x potvrzeno xxxxxx, podpisem x xxxxxxxx veterinárního lékaře.
Equine xxxxxxxx xxxx
Xxxxxxxxxxx xxxxxx
Xxxxxxx xx xxxxx vaccination xxxxx xxx horse xxxxxxxxx xxxx xx xxxxxxx xxxxxxx and xx detail, xxx xxxxxxxxx xxxx xxx xxxx xxx xxxxxxxxx xx veterinarian.
Grippe équine xxxxxxxxx
Xxxxxxxxxxxxxx des vaccinations
Toute xxxxxxxxxxx xxxxx par xx xxxxxx xxxx xxxx xxxxxx dans xx xxxxx xx-xxxxxxx xx facon xxxxxxx xx xxxxxxx xxxx xx xxx et xx xxxxxxxxx xx xxxxxxxxxxx.
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Xxxxx Xxxxx Xxxx Xxxxxxx Xxxxx, xxxxxx x xxxxxxx
Xxxx Xxxxx Xxxxxxx Xxxxxxx veterinárního xxxxxx
Xxxx Xxxx Vaccin Xxxx, xxxxxxxxx xxx xxxxx xx
_________________________ xxxxxxxxxxxx
Xxxxx Xxxxx xxxxx Xxx, xxxxxxxxx xx xxxxxx xx
Xxxx Xxxxx number xxxxxxxxxxx
Xxx Xxxxxx xx xxx
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Xxxxxxxx totožnosti xxxx xxxxxxxxx x xxxxx xxxxxxx
Xxxxxxxx xxxxxxxxxx xxxx xx zpravidla xxxxxxxxxxxx xxx xxxxxxxxx, dostizích xx xxxxxxxxxxxxx xxxxxxxxxxx. Xxxxxxxxx této xxxxxx xxxxxxx, že xxxxx xxxxxxxxxxxx xxxx je x xxxxxxx s xxxxxxxxx xxxxxxxxxxx uvedeným xx xxxxxxxxx straně.
Identification xx the xxxxx xxxxxxxxx xx xxxx xxxxxxxxx
Xxx xxxxxxxx xx xxx xxxxx must xx xxxxxxx xxxx xxxx this xx xxxxxxxx by xxxxx xxx regulations and xxxxxxxxx xxxx xx xxxxxxxx xxxx xxx xxxxxxxxxxx xxxxx xx xxx diagram xxxx xx xxx xxxxxxxx.
Xxxxxxxxx x´xxxxxxxx xx xxxxxx xxxxxx xxxx ce xxxxxxxxx
X´xxxxxxxx xx cheval xxxx xxxx controlée xxxxxx xxxx xxx xxx xxxx et xxxxxxxxxx x´xxxxxxx : xxxxxx xxxxx page xxxxxxxx xxx xx xxxxxxxxxxx xx cheval xxxxxxxx xxx xxxxxxxx x celui xx xx xxxx xx xxxxxxxxxxx.
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Xxxxx kontroly (xxxx, Xxxxx, xxxxxx x xxxxxx xxxxx ověřující xxxxxxxxx
Xxxxx Xxxx x xxxx xxxxxxxxx xxxx.) Xxxxxxxxx, xxxx (xxxxxxx) xxx xxxxxx of xxxxxxxx
Xxxx Xxxx xxx Xxxxxxx xx xxxxxxx (xxxxx, health xxxxxxxxx xxx xxxxxxxxxxxxxx
xxxxxxx xxxxxxxxxxx, xxx.) Xxxxxxxxx, xxx xx capitales xx xxxxxxx de 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 očkování xxxx xxxx xxx xxxxxxx x xxxxxx xxxxxxx x xxxx xxxxxxx xxxxxxx x xxxxxxxxx jménem, xxxxxxxx x xxxxxxxx xxxxxxxxxxxxx xxxxxx.
Xxxxxxxx other xxxx xxxxxx influenza
Vaccination xxxxxx
Xxxxxxx xx xxxxx vaccination xxxxx xxx xxxxx xxxxxxxxx xxxx xx xxxxxxx xxxxxxx and xx xxxxxx, xxx xxxxxxxxx xxxx the xxxx xxx xxxxxxxxx xx veterinarian.
Maladies autres xxx xx grippe xxxxxx
Xxxxxxxxxxxxxx des vaccinations
Toute xxxxxxxxxxx xxxxx xxx xx cheval xxxx xxxx portée dans xx xxxxx xx-xxxxxxx xx xxxxx xxxxxxx xx précise avec xx xxx xx xx xxxxxxxxx du xxxxxxxxxxx.
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Xxxxxxx/Xxxxxxx/Xxxxxx Xxxxx, xxxxxx x razítko xxxxxxxxxxxxx
Xxxxx Xxxxx Země lékaře
Date Xxxxx Xxxxxxx _________________________________ Xxxx, xxxxxxxxx xxx xxxxx xx
Xxxx Xxxx Xxxxx Xxxxx série Xxxxxx(x) veterinarian
Name Xxxxx xxxxxx Xxxxxxx(x) Xxx, xxxxxxxxx et cachet xx xxxxxxxxxxx
Xxx Xxxxxx xx lot Xxxxxxx(x)
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Xxxxxxxxx xxxxxxxxx provedené autorizovanou xxxxxxxxxx
Xxxxxxxx xxxxx xxxxxxxxx, xxxxxxxxxxx xx xxxxxxxx xxxxx xxxxxxxxxxx nebo xxxxxxxxxx schválenou xxxxxx xxxxxxxxxxx správou xxxx, xxxx xxx xxxxx x xxxxxxxx zapsány xxxxxxxxxxx, xxxxx xxxxxxxxxxxx xxxxxxxx xxxxxxxxxx xxxxxxxxx.
Xxxxxxxxxx xxxxxx xxxx
Xxx result xx every xxxx xxxxxxx out xxx x xxxxxxxxxxxxx disease xx a xxxxxxxxxxxx xx x xxxxxxxxxx xxxxxxxxxx xx the xxxxxxxxxx xxxxxxxxxx xxxxxxx xx the xxxxxxx xxxx xx xxxxxxx xxxxxxx xxx xx xxxxxx by xxx xxxxxxxxxxxx xxxxxx xx xxxxxx of xxx xxxxxxxxx xxxxxxxxxx xxx xxxx.
Xxxxxxxxx xxxxxxxxxx xxxxxxxxx xxx des xxxxxxxxxxxx
Xx xxxxxxxx xx xxxx xxxxxxxx effectué par xx xxxxxxxxxxx xxxx xxx xxxxxxx xxxxxxxxxxxxx xx par un xxxxxxxxxxx agréé xxx xx service xxxxxxxxxxx xxxxxxxxxxxxxx du pays xxxx xxxx xxxx xxxxxxxxxx xx xx xxxxxxx par le xxxxxxxxxxx xxx xxxxxxxxxx x´xxxxxxxx demandant xx xxxxxxxx.
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Xxxxxxxxxx xxxxxx Xxxx xxxxxxxxx Xxxxxxxx xxxxxxxxx Xxxxx protokolu Xxxxxxxxxxxx xxxxxx- Xxxxx, xxxxxx x
Xxxxx Xxxxxxxxxxxxx Xxxx xx xxxx Xxxxxx xx xxxx Record xxxxxx xxx, která xxxxxxxxxxx razítko xxxxxxxxxxxxx
Xxxx xxxxxxx xxxxxx xxx Xxxxxx xx Xxxxxxxx xx Xxxxxx du xxxxxx xxxxxx
Xxxxxxxx l´examen x´xxxxxx xxxxxxxxx Xxxxxxxx xxxxxxxxxx xx Xxxx, xxxxxxxxx
xxxxxxxxxxxxxx xxxxx xxxxxx xx xxxx and xxxxx xx
xxxxxxxxxx Xxxxxxxxxxx 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 x´xxxxxxxxxxxxxx
2) Xxxxx
Xxxx
Xxx
3) Xxxxxxx
Xxx
Xxxx
4) Xxxxx
Xxxxxx
Xxxx
5) Xxxxxxx
Xxxxx
Xxxx
6) Otec
Sire
Pére
7a) Xxxxx 7x) Xxxx matky
Dam xx
Xxxx xxx
8) Xxxxx xxxxxxxx
Xxxx of xxxxxxx
Xxxx xx xxxxxxxxx
9) Xxxxx xxxxxxxx
Xxxxx where xxxx
Xxxx x´xxxxxxx
10) Xxxxxxxx(x)
Xxxxxxx(x)
Xxxxxxxx(x)
11) Potvrzeno xxx
xxxxxxxxx on
validé xx
- Xxxxx příslušného xxxxxx
Xxxx xx xxx competent xxxxxxxxx
Xxx xx x´xxxxxxxx xxxxxxxxx
- Adresa
Address
Adresse
- Telefon
Telephone Xx
Xxxxxxxx xxxxx
- Fax
Fax xxxxxx
X xx télécopie
- Xxxxxx
(xxxxxxx xxxxxxx xxxxx x xxxxxx podepsaného)
Signature
(Name xx capital xxxxxxx xxx capacity xx xxxxxxxxx)
Xxxxxxxxx
(xxx xx lettres xxxxxxxxx et xxxxxxx xx signataire)
- Razítko
Stamp
Cachet
12) Xxxxxxxx xxxxx
Xxxxxxxx xxxxx
13) Xxxxx xxx xxxxxx
Xxxxxxxxxxx xxxxx xxxx xxx xx
Xxxxxxxxxxx xxxxxx xxxx xx xxxx xxx
x) Xxxxx
Xxxx
Xxxx
x) Xxxx xxxxxx xxxxxxxxx
Xxxxxxx X
Xxx. X
x) Xxxxx xxxxxx xxxxxxxxx
Xxxxxxx X
Xxx. X
x) Xxxx xxxxx xxxxxxxxx
Xxxxxxx X
Xxxx X
x) Xxxxx xxxxx xxxxxxxxx
Xxxxxxx X
Xxxx D
f) Xxxx
Xxxx
Xxxxx
x) Odznaky
Markings
Marques
h) Xxx
Xx
Xx
14) Xxxxxx a xxxxxxx xxxxxxxxxxx orgánu (xxxxxxx xxxxxxx xxxxx podepsaného)
Signature xxx xxxxx xx xxx xxxxxxxxx xxxxxxxxx (xxxx xx signatory xx capital xxxxxxx)
Xxxxxxxxx xx cachet du xxxxxxxx xxxxxxxxxx (xxx xx signataire xx xxxxxxx capitales)
Potvrzení veterinárního xxxxxx x zdravotním xxxxx a nákazové xxxxxxx v xxxxx
Xxxxxxxxxx xxxxxxxxxxxxx for xxxxxxxxxx xxxxxxxxx/Xxxxxxxxxx sanitaire xxxx xx xxxxxxxxx xxxxxxxx
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Xxxxx Xxxxxxxx xxxxxxxxxx Nákazová xxxxxxx Xxxx platnosti, xxxx vydání Jméno, xxxxxx x razítko
vyšetření xxxx x chovu x místo určení xxxxxxxxxxxxx lékaře
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Potvrzení příslušného xxxxxx xxxxxxxxxxx xxxxxx x xxxxxxxx xxxxxxx x xxxxxx
Xxxxxxxxxx xxxxxxxxxxxxx xxx intrastate xxxxxxxxx/Xxxxxxxxxx xxxxxxxxx xxxx xx xxxxxxxxx xxxxxxxx
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Xxxxx Xxxxxxxx xxxxxxx Xxxx xxxxxxxxx, xxxx Xxxxx, podpis x xxxxxxx Xxxxx xxx xxxxxxxx xxxxx
x xxxxxx x místo xxxxxx veterinárního xxxxxx
xxxxxxxxxxx xxxxxx
xxxxxxxxxxx správy
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Datum Místo X xxxxxx xxxxxxx xxxx je xxxxxxxxx Xxxxxxx x xxxxxx xxxxxxxxxxxxx xxxxxx
Xxxx Xxxxx xxxxxxxxxx xxxxxxxxxxx xxxxxxxxx xxxxx: Xxxx, xxxxxxxxx xxx xxxxx xx xxxxxxxxxxxx
Xxxx To this xxxxxxxx xx attached xxxxxxxxxx Nom, xxxxxxxxx xx cachet du xxxxxxxxxxx
xxxxxxxxxx xxxxxxxxxxx No
Le xxxxxxxx est xxxxxxxxxx xxx xxxxxxxxxx
xxxxxxxxx officiel Xx
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