Příloha x. 11 x xxxxxxxx č. 357/2001 Xx.
XXXX XXXXXXX XXXX
Xxxxx o xxxxxxxx
1. Xxx soutěže je xxxxxx xxxxxxxxxxx xxxx xxxxxxx xx xxxxxx xxxxxxxxxxxx jeho majitele.
2. Xxx xxxxx xxxxxxxx xxxx být průkaz xxxx xx xxxxxxxx xxxxxx příslušné organizaci x uvedením) jména x adresy xxxxxx xxxxxxxx k xxxxxxxxxxxxxx xxxxx.
3. Xxxxx xx xxx více než xxxxxxx xxxxxxxx, nebo xx v xxxxxxx xxxxxxxxxxx, musí xxx x xxxxxxx uvedeno xxxxx x xxxxxx xxxxxxxxxxx xxxxx xxxxxxxxx xx xxxx. Xxxxx xxxx majitelé xxxxxxx xxxxxxxx xxxxxxxxxxxxx, xxxx xxxxx xxxxxx xxxxxxxxxxx xxxx.
4. Xxxxxxxx Mezinárodní xxxxxxxx xxxxxxxx schválí xxxxxxxx xxxx Xxxxxxx xxxxxxxxx xxxxxxxx, musí xxx xxxxxxxxxxx xxxx xxxxxxxxx na xxxx xxxxxxx xxxxxxx.
Xxxxxxx of xxxxxxxxx
1. For xxxxxxxxxxx xxxxxxxx, the nationality xx the horse xx xxxx of xxx xxxxx.
2. On xxxxxx xx xxxxxxxxx xxx xxxxxxxx must xxxxxxxxxxx xx xxxxxx xxxx xxx xxxxxxx xxxxxxxxxxxx, xxxxxxxxxxx xx xxxxxxxx xxxxxx, giving xxx name and xxxxxxx xx xxx xxx xxxxx, xxx xxxxxxxxxxxx xxx xxxxxxxxxx xx the xxx xxxxx.
3. Xx there xx more xxxx xxx xxxxx xx xxx xxxxx is xxxxx by x xxxxxxx, xxxx xxx xxxx of the xxxxxxxxxx xxxxxxxxxxx for xxx horse xxxx xx xxxxxxx xx xxx xxxxxxxx together xxxx xxx xxxxxxxxxxx. Xx xxx xxxxxx xxx xx xxxxxxxxx xxxxxxxxxxxxx, xxxx xxxx xx determine the xxxxxxxxxxx xx xxx xxxxx.
4. When xxx Xxxxxxxxxx xxxxxxxx internationale xxxxxxxx xxx xxxxxxx xx x xxxxx xx x national xxxxxxxxxx xxxxxxxxxx, xxx xxxxxxx xx these xxxxxxxxxxxx xxxx be xxxxxxxx xx the xxxxxxxx xxxxxxxxxx xxxxxxxxxx xxxxxxxxx.
Xxxxxxx xx xxxxx xx xxxxxxxxx
1. Pour xxx xxxxxxxxxxxx, xx xxxxxxxxxxx xx cheval xxx xxxxx xxx xxx xxxxxxxxxxxx.
2. En xxx xx xxxxxxxxxx xx propriétaire, xx xxxxxxxxx doit xxxx xxxxxxxxxxxxx déposé xxxxxx xx x´xxxxxxxxxxxx, x´xxxxxxxxxxx xx le xxxxxxx xxxxxxxx x´xxxxx xxxxxxx xxxx xx xxx xx x´xxxxxxx du xxxxxxx propriétaire xxxx xx le xxx xxxxxxxxxxx xxxxx xxxxxxxxxxxxxxxx.
3. X´xx x x xxxx x´xx propriétaire xx xx xx xxxxxx xxxxxxxxxx á xxx xxxxxxx, le xxx de xx xxxxxxxx xxxxxxxxxxx xxxx xx xxxxxx xxxx xxxx xxxxxxx xxxx xx xxxxxxxxx ainsi xxx sa nationalité. Xx xxx xxxxxxxxxxxxx xxxx de xxxxxxxxxxxx xxxxxxxxxxx, ils xxxxxxx xxxxxxxx xx nationalité xx xxxxxx.
4. Xxxxxxx xx Xxxxxxxxxx xxxxxxxx xxxxxxxxxxxxxx xxxxxxxx xx xxxxxxxx x´xx cheval xxx une Xxxxxxxxxx xxxxxxxx xxxxxxxxx, xxx xxxxxxx de ces xxxxxxxxxxxx xxxxxxx xxxx xxxxxxxxxxx xxx xx Xxxxxxxxxx xxxxxxxx nationale xxxxxxxxxx.
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Xxxxx registrace Xxxxx xxxxxxxx Xxxxxx majitele Xxxxxx xxxxxxxxxxx Xxxxxx xxxxxxxx Xxxxxxx příslušné
příslušné xxxxxxxxxx Xxxx of xxxxx Xxxxxxx xx xxxxx xxxxxxxx Xxxxxxxxx xx xxxxx xxxxxxxxxx x xxxxxx
Xxxx xx xxxxxxxxxxxx, Xxx xx Xxxxxxx xx Nationality xx xxxxx Xxxxxxxxx xx Xxxxxxxxxxxx,
xx xxx xxxxxxxxxxxx, propriétaire xxxxxxxxxx Xxxxxxxxxxx xx xxxxxxxxxxxx xxxxxxxxxxx xx
xxxxxxxxxxx, xx Xxxxxxxxxxx xx xxxxxxxx xxxxxx xxxxx
xxxxxxxx xxxxxx xxxxxxxxxxxx xxx signature
Date x´xxxxxxxxxxxxxx Cachet xx x´xxxxxx-,
xxx x´xxxxxxxxxxxx, xxxxxx, xxxxxxxxxxx
x´xxxxxxxxxxx xx le xx service officiel
service xxxxxxxx et xxxxxxxxx
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Xxxxx xxxxxxx koní
Záznam o xxxxxxxx
Xxxxx xxxxxxxx xxxx xxxx xxx xxxxxxx x přesně xxxxxxx x xxxx uvedené xxxxxxx a potvrzeno xxxxxx, xxxxxxxx x xxxxxxxx xxxxxxxxxxxxx xxxxxx.
Xxxxxx xxxxxxxx xxxx
Xxxxxxxxxxx xxxxxx
Xxxxxxx xx xxxxx xxxxxxxxxxx xxxxx the horse xxxxxxxxx xxxx xx xxxxxxx xxxxxxx xxx xx detail, xxx xxxxxxxxx with xxx xxxx and xxxxxxxxx xx veterinarian.
Grippe xxxxxx xxxxxxxxx
Xxxxxxxxxxxxxx des vaccinations
Toute xxxxxxxxxxx subie par xx xxxxxx xxxx xxxx xxxxxx dans xx xxxxx xx-xxxxxxx xx xxxxx lisible xx précise avec xx xxx et xx xxxxxxxxx xx xxxxxxxxxxx.
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Xxxxx Xxxxx Xxxx Xxxxxxx Jméno, xxxxxx x razítko
Date Xxxxx Xxxxxxx Xxxxxxx xxxxxxxxxxxxx xxxxxx
Xxxx Xxxx Xxxxxx Xxxx, xxxxxxxxx and xxxxx xx
_________________________ xxxxxxxxxxxx
Xxxxx Xxxxx xxxxx Nom, xxxxxxxxx xx xxxxxx xx
Xxxx Xxxxx xxxxxx xxxxxxxxxxx
Xxx Numéro du xxx
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Xxxxxxxx totožnosti koně xxxxxxxxx x xxxxx xxxxxxx
Xxxxxxxx xxxxxxxxxx koně xx xxxxxxxxx xxxxxxxxxxxx xxx xxxxxxxxx, dostizích xx xxxxxxxxxxxxx xxxxxxxxxxx. Xxxxxxxxx této xxxxxx xxxxxxx, xx xxxxx xxxxxxxxxxxx xxxx xx x xxxxxxx x xxxxxxxxx xxxxxxxxxxx xxxxxxxx xx příslušné xxxxxx.
Xxxxxxxxxxxxxx xx the xxxxx xxxxxxxxx xx xxxx xxxxxxxxx
Xxx xxxxxxxx of xxx horse xxxx xx checked each xxxx xxxx xx xxxxxxxx by xxxxx xxx xxxxxxxxxxx xxx xxxxxxxxx that xx xxxxxxxx xxxx the xxxxxxxxxxx given xx xxx diagram page xx xxx xxxxxxxx.
Xxxxxxxxx x´xxxxxxxx xx xxxxxx xxxxxx xxxx xx xxxxxxxxx
X´xxxxxxxx du xxxxxx xxxx xxxx xxxxxxxxx xxxxxx xxxx xxx xxx lois xx xxxxxxxxxx x´xxxxxxx : xxxxxx xxxxx xxxx xxxxxxxx que xx xxxxxxxxxxx xx cheval xxxxxxxx xxx xxxxxxxx x xxxxx xx xx xxxx xx xxxxxxxxxxx.
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Xxxxx kontroly (xxxx, Xxxxx, xxxxxx x xxxxxx osoby xxxxxxxxx xxxxxxxxx
Xxxxx Xxxx a xxxx xxxxxxxxx xxxx.) Xxxxxxxxx, xxxx (xxxxxxx) xxx xxxxxx of xxxxxxxx
Xxxx Xxxx and Xxxxxxx xx xxxxxxx (xxxxx, health xxxxxxxxx xxx xxxxxxxxxxxxxx
xxxxxxx xxxxxxxxxxx, xxx.) Xxxxxxxxx, nom xx xxxxxxxxx et xxxxxxx xx xx
Xxxxx xx xxxx Xxxxx xx xxxxxxxx (concours, xxxxxxxx xxxxx xxxxxxx x´xxxxxxxx
xxxxxxxxxx sanitaire, xxx.)
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Xxxx xxxxxx xxx influenza xxxx
Xxxxxx očkování
Každé očkování xxxx musí xxx xxxxxxx x přesně xxxxxxx x xxxx xxxxxxx xxxxxxx x xxxxxxxxx xxxxxx, razítkem x podpisem veterinárního xxxxxx.
Xxxxxxxx xxxxx xxxx xxxxxx influenza
Vaccination xxxxxx
Xxxxxxx xx every xxxxxxxxxxx xxxxx xxx xxxxx xxxxxxxxx must be xxxxxxx xxxxxxx xxx xx detail, xxx xxxxxxxxx xxxx xxx xxxx xxx signature xx xxxxxxxxxxxx.
Xxxxxxxx xxxxxx xxx xx xxxxxx xxxxxx
Xxxxxxxxxxxxxx des vaccinations
Toute xxxxxxxxxxx subie xxx xx xxxxxx xxxx xxxx xxxxxx dans xx cadre xx-xxxxxxx xx xxxxx xxxxxxx xx précise xxxx xx xxx xx xx xxxxxxxxx du xxxxxxxxxxx.
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Xxxxxxx/Xxxxxxx/Xxxxxx Xxxxx, podpis x xxxxxxx vererinárního
Datum Xxxxx Země xxxxxx
Xxxx Xxxxx Country _________________________________ Xxxx, signature xxx xxxxx xx
Xxxx Xxxx Xxxxx Xxxxx série Xxxxxx(x) xxxxxxxxxxxx
Xxxx Xxxxx xxxxxx Xxxxxxx(x) Xxx, xxxxxxxxx xx xxxxxx xx xxxxxxxxxxx
Xxx Xxxxxx xx xxx Maladie(s)
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Zdravotní xxxxxxxxx provedené xxxxxxxxxxxxx xxxxxxxxxx
Xxxxxxxx všech xxxxxxxxx, xxxxxxxxxxx xx xxxxxxxx xxxxx xxxxxxxxxxx xxxx xxxxxxxxxx schválenou státní xxxxxxxxxxx správou xxxx, xxxx xxx jasně x podrobně xxxxxxx xxxxxxxxxxx, xxxxx xxxxxxxxxxxx xxxxxxxx xxxxxxxxxx vyšetření.
Laboratory xxxxxx test
The result xx xxxxx test xxxxxxx out xxx x xxxxxxxxxxxxx xxxxxxx xx a xxxxxxxxxxxx xx x laboratory xxxxxxxxxx by the xxxxxxxxxx veterinary service xx xxx xxxxxxx xxxx xx entered xxxxxxx xxx xx xxxxxx by trh xxxxxxxxxxxx xxxxxx xx xxxxxx xx xxx xxxxxxxxx xxxxxxxxxx xxx xxxx.
Xxxxxxxxx sanitaires xxxxxxxxx xxx xxx xxxxxxxxxxxx
Xx xxxxxxxx de xxxx xxxxxxxx xxxxxxxx xxx xx xxxxxxxxxxx xxxx xxx xxxxxxx xxxxxxxxxxxxx xx xxx un xxxxxxxxxxx xxxxx xxx xx xxxxxxx vétérinaire xxxxxxxxxxxxxx du xxxx xxxx xxxx noté xxxxxxxxxx xx xx xxxxxxx par xx xxxxxxxxxxx xxx xxxxxxxxxx x´xxxxxxxx demandant le xxxxxxxx.
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Xxxxxxxxxx xxxxxx Xxxx xxxxxxxxx Výsledek xxxxxxxxx Xxxxx xxxxxxxxx Xxxxxxxxxxxx xxxxxx- Xxxxx, podpis x
Xxxxx Transmissible Type xx test Xxxxxx xx xxxx Record xxxxxx xxx, xxxxx xxxxxxxxxxx xxxxxxx xxxxxxxxxxxxx
Xxxx xxxxxxx xxxxxx xxx Xxxxxx xx Xxxxxxxx xx Numéro xx xxxxxx xxxxxx
Xxxxxxxx l´examen x´xxxxxx protocole Xxxxxxxx xxxxxxxxxx xx Xxxx, xxxxxxxxx
xxxxxxxxxxxxxx xxxxx sample xx sent xxx xxxxx xx
xxxxxxxxxx Xxxxxxxxxxx xxxxxxxx xxxxxxxxxxxx
x´xxxxxxx xx Xxx, xxxxxxxxx et
prélévement 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) Otec xxxxx
Xxx xx
Xxxx xxx
8) Xxxxx xxxxxxxx
Xxxx xx xxxxxxx
Xxxx xx naissance
9) Místo xxxxxxxx
Xxxxx xxxxx xxxx
Xxxx x´xxxxxxx
10) Chovatel(é)
Breeder(s)
Naisseur(s)
11) Xxxxxxxxx xxx
xxxxxxxxx on
validé xx
- Xxxxx xxxxxxxxxxx xxxxxx
Xxxx xx the competent xxxxxxxxx
Xxx xx x´xxxxxxxx xxxxxxxxx
- Xxxxxx
Xxxxxxx
Xxxxxxx
- Xxxxxxx
Xxxxxxxxx Xx
Xxxxxxxx phone
- Xxx
Xxx xxxxxx
X de télécopie
- Xxxxxx
(xxxxxxx xxxxxxx jméno x funkce podepsaného)
Signature
(Name xx xxxxxxx letters xxx xxxxxxxx xx xxxxxxxxx)
Xxxxxxxxx
(xxx en xxxxxxx xxxxxxxxx xx qualité xx xxxxxxxxxx)
- Xxxxxxx
Xxxxx
Xxxxxx
12) Xxxxxxxx xxxxx
Xxxxxxxx popis
13) Xxxxx xxx matkou
Description xxxxx xxxx xxx xx
Xxxxxxxxxxx relevé sous xx xxxx xxx
x) Xxxxx
Xxxx
Xxxx
x) Xxxx přední xxxxxxxxx
Xxxxxxx X
Xxx. X
x) Xxxxx xxxxxx xxxxxxxxx
Xxxxxxx X
Xxx. D
d) Xxxx xxxxx xxxxxxxxx
Xxxxxxx X
Xxxx X
x) Xxxxx zadní xxxxxxxxx
Xxxxxxx X
Xxxx D
f) Xxxx
Xxxx
Xxxxx
x) Xxxxxxx
Xxxxxxxx
Xxxxxxx
x) Xxx
Xx
Xx
14) Xxxxxx a razítko xxxxxxxxxxx xxxxxx (xxxxxxx xxxxxxx xxxxx xxxxxxxxxxx)
Xxxxxxxxx xxx xxxxx xx xxx competent authority (xxxx xx signatory xx capital letters)
Signature xx cachet xx xxxxxxxx competente (xxx xx xxxxxxxxxx en xxxxxxx capitales)
Potvrzení xxxxxxxxxxxxx xxxxxx o xxxxxxxxxx xxxxx a nákazové xxxxxxx x xxxxx
Xxxxxxxxxx xxxxxxxxxxxxx xxx intrastate xxxxxxxxx/Xxxxxxxxxx sanitaire pour xx xxxxxxxxx indigéne
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Datum Xxxxxxxx xxxxxxxxxx Xxxxxxxx xxxxxxx Doba xxxxxxxxx, xxxx vydání Jméno, xxxxxx x xxxxxxx
xxxxxxxxx xxxx x xxxxx x xxxxx xxxxxx xxxxxxxxxxxxx xxxxxx
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Xxxxxxxxx xxxxxxxxxxx xxxxxx veterinární xxxxxx x nákazové xxxxxxx x okrese
Veterinary xxxxxxxxxxxxx xxx xxxxxxxxxx xxxxxxxxx/Xxxxxxxxxx xxxxxxxxx xxxx xx xxxxxxxxx indigéne
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Datum Xxxxxxxx xxxxxxx Doba platnosti, xxxx Jméno, xxxxxx x xxxxxxx Xxxxx xxx xxxxxxxx kolku
v xxxxxx x místo xxxxxx xxxxxxxxxxxxx lékaře
příslušného xxxxxx
xxxxxxxxxxx správy
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Datum Xxxxx X xxxxxx xxxxxxx xxxx xx xxxxxxxxx Xxxxxxx a xxxxxx xxxxxxxxxxxxx xxxxxx
Xxxx Xxxxx xxxxxxxxxx veterinární osvědčení xxxxx: Xxxx, signature xxx stamp xx xxxxxxxxxxxx
Xxxx Xx xxxx xxxxxxxx xx xxxxxxxx xxxxxxxxxx Nom, xxxxxxxxx xx xxxxxx xx xxxxxxxxxxx
xxxxxxxxxx xxxxxxxxxxx No
Le xxxxxxxx xxx accompagné xxx xxxxxxxxxx
xxxxxxxxx officiel Xx
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