Příloha č. 11 x xxxxxxxx x. 357/2001 Xx.
XXXX PRŮKAZU XXXX
Xxxxx x majiteli
1. Xxx xxxxxxx xx xxxxxx příslušnost xxxx xxxxxxx se xxxxxx xxxxxxxxxxxx jeho majitele.
2. Xxx změně xxxxxxxx xxxx být xxxxxx xxxx xx xxxxxxxx xxxxxx příslušné xxxxxxxxxx x xxxxxxxx) jména x adresy xxxxxx xxxxxxxx x xxxxxxxxxxxxxx xxxxx.
3. Xxxxx xx xxx xxxx než xxxxxxx xxxxxxxx, xxxx xx v xxxxxxx xxxxxxxxxxx, xxxx xxx x průkazu uvedeno xxxxx x xxxxxx xxxxxxxxxxx osoby xxxxxxxxx xx koně. Pokud xxxx xxxxxxxx různých xxxxxxxx xxxxxxxxxxxxx, xxxx xxxxx xxxxxx xxxxxxxxxxx xxxx.
4. Jestliže Xxxxxxxxxxx xxxxxxxx xxxxxxxx xxxxxxx xxxxxxxx xxxx Xxxxxxx xxxxxxxxx federací, xxxx xxx xxxxxxxxxxx xxxx xxxxxxxxx xx této xxxxxxx zapsány.
Details of xxxxxxxxx
1. Xxx competitive xxxxxxxx, xxx xxxxxxxxxxx xx xxx xxxxx xx that xx xxx xxxxx.
2. Xx xxxxxx xx xxxxxxxxx xxx passport xxxx xxxxxxxxxxx be lodged xxxx xxx xxxxxxx xxxxxxxxxxxx, xxxxxxxxxxx or xxxxxxxx agency, xxxxxx xxx xxxx xxx xxxxxxx xx xxx xxx owner, xxx xxxxxxxxxxxx and forwarding xx xxx xxx xxxxx.
3. Xx xxxxx xx more than xxx xxxxx xx xxx xxxxx is xxxxx by a xxxxxxx, xxxx xxx xxxx of xxx xxxxxxxxxx xxxxxxxxxxx xxx xxx xxxxx xxxx xx xxxxxxx xx xxx xxxxxxxx xxxxxxxx xxxx xxx xxxxxxxxxxx. Xx xxx xxxxxx xxx of xxxxxxxxx xxxxxxxxxxxxx, they xxxx xx xxxxxxxxx xxx xxxxxxxxxxx xx xxx xxxxx.
4. When xxx Xxxxxxxxxx xxxxxxxx xxxxxxxxxxxxxx xxxxxxxx xxx xxxxxxx xx x horse xx a xxxxxxxx xxxxxxxxxx federation, xxx xxxxxxx xx these xxxxxxxxxxxx must be xxxxxxxx xx xxx xxxxxxxx xxxxxxxxxx xxxxxxxxxx xxxxxxxxx.
Xxxxxxx xx xxxxx xx xxxxxxxxx
1. Xxxx xxx compétitions, xx xxxxxxxxxxx xx cheval xxx xxxxx xxx xxx xxxxxxxxxxxx.
2. Xx xxx xx xxxxxxxxxx xx xxxxxxxxxxxx, xx xxxxxxxxx doit xxxx xxxxxxxxxxxxx déposé xxxxxx xx x´xxxxxxxxxxxx, x´xxxxxxxxxxx xx xx xxxxxxx xxxxxxxx x´xxxxx délivré xxxx xx xxx xx x´xxxxxxx xx xxxxxxx propriétaire xxxx xx le xxx xxxxxxxxxxx xxxxx xxxxxxxxxxxxxxxx.
3. X´xx y a xxxx x´xx propriétaire xx xx le xxxxxx appartient x xxx société, xx xxx xx xx xxxxxxxx xxxxxxxxxxx xxxx xx xxxxxx xxxx xxxx xxxxxxx xxxx xx passeport ainsi xxx xx xxxxxxxxxxx. Xx les propriétaires xxxx xx xxxxxxxxxxxx xxxxxxxxxxx, xxx xxxxxxx xxxxxxxx xx xxxxxxxxxxx xx xxxxxx.
4. Xxxxxxx xx Xxxxxxxxxx équestre xxxxxxxxxxxxxx xxxxxxxx xx xxxxxxxx d´un xxxxxx xxx xxx Xxxxxxxxxx xxxxxxxx xxxxxxxxx, les xxxxxxx de xxx xxxxxxxxxxxx xxxxxxx xxxx xxxxxxxxxxx xxx xx Xxxxxxxxxx xxxxxxxx nationale xxxxxxxxxx.
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Xxxxx xxxxxxxxxx Xxxxx xxxxxxxx Xxxxxx xxxxxxxx Xxxxxx příslušnost Podpis xxxxxxxx Razítko příslušné
příslušné xxxxxxxxxx Xxxx xx xxxxx Xxxxxxx xx xxxxx xxxxxxxx Xxxxxxxxx xx xxxxx organizace x podpis
Date xx xxxxxxxxxxxx, Xxx du Xxxxxxx xx Xxxxxxxxxxx xx xxxxx Xxxxxxxxx xx Xxxxxxxxxxxx,
xx xxx xxxxxxxxxxxx, xxxxxxxxxxxx xxxxxxxxxx Xxxxxxxxxxx xx xxxxxxxxxxxx xxxxxxxxxxx or
association, or Xxxxxxxxxxx xx xxxxxxxx xxxxxx xxxxx
xxxxxxxx xxxxxx xxxxxxxxxxxx xxx xxxxxxxxx
Xxxx x´xxxxxxxxxxxxxx Cachet de x´xxxxxx-,
xxx x´xxxxxxxxxxxx, xxxxxx, xxxxxxxxxxx
x´xxxxxxxxxxx xx xx xx xxxxxxx xxxxxxxx
xxxxxxx xxxxxxxx xx xxxxxxxxx
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Xxxxx xxxxxxx xxxx
Xxxxxx x xxxxxxxx
Xxxxx xxxxxxxx xxxx xxxx xxx xxxxxxx x přesně zapsáno x xxxx xxxxxxx xxxxxxx x xxxxxxxxx xxxxxx, xxxxxxxx x xxxxxxxx veterinárního xxxxxx.
Xxxxxx xxxxxxxx only
Vaccination xxxxxx
Xxxxxxx xx xxxxx xxxxxxxxxxx xxxxx the xxxxx xxxxxxxxx must xx xxxxxxx xxxxxxx xxx xx xxxxxx, xxx xxxxxxxxx with xxx xxxx xxx signature xx xxxxxxxxxxxx.
Xxxxxx équine xxxxxxxxx
Xxxxxxxxxxxxxx des vaccinations
Toute xxxxxxxxxxx subie xxx xx xxxxxx xxxx xxxx portée xxxx xx cadre xx-xxxxxxx xx xxxxx xxxxxxx xx xxxxxxx 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 xxx xxxxx xx
_________________________ xxxxxxxxxxxx
Xxxxx Xxxxx série Nom, xxxxxxxxx xx cachet xx
Xxxx Batch xxxxxx xxxxxxxxxxx
Xxx Xxxxxx xx xxx
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Xxxxxxxx xxxxxxxxxx xxxx xxxxxxxxx x xxxxx xxxxxxx
Xxxxxxxx xxxxxxxxxx xxxx xx xxxxxxxxx xxxxxxxxxxxx xxx soutěžích, xxxxxxxxx xx xxxxxxxxxxxxx prohlídkách. Xxxxxxxxx xxxx strany xxxxxxx, že xxxxx xxxxxxxxxxxx xxxx xx x xxxxxxx x xxxxxxxxx xxxxxxxxxxx uvedeným xx xxxxxxxxx xxxxxx.
Xxxxxxxxxxxxxx xx xxx xxxxx xxxxxxxxx xx this xxxxxxxxx
Xxx xxxxxxxx of xxx xxxxx xxxx xx checked each xxxx xxxx xx xxxxxxxx xx xxxxx xxx xxxxxxxxxxx xxx xxxxxxxxx that xx xxxxxxxx with xxx xxxxxxxxxxx given xx xxx xxxxxxx xxxx xx xxx xxxxxxxx.
Xxxxxxxxx x´xxxxxxxx xx xxxxxx xxxxxx xxxx xx xxxxxxxxx
X´xxxxxxxx du cheval xxxx etre controlée xxxxxx fois que xxx xxxx xx xxxxxxxxxx x´xxxxxxx : xxxxxx xxxxx xxxx xxxxxxxx que le xxxxxxxxxxx xx cheval xxxxxxxx xxx conforme x xxxxx xx xx paga du xxxxxxxxxxx.
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Xxxxx xxxxxxxx (xxxx, Xxxxx, podpis x xxxxxx xxxxx xxxxxxxxx xxxxxxxxx
Xxxxx Obec x xxxx xxxxxxxxx xxxx.) Xxxxxxxxx, xxxx (xxxxxxx) xxx status xx xxxxxxxx
Xxxx Xxxx xxx Xxxxxxx xx xxxxxxx (xxxxx, xxxxxx verifying xxx identification
country xxxxxxxxxxx, xxx.) Signature, xxx xx xxxxxxxxx xx xxxxxxx de xx
Xxxxx xx xxxx Xxxxx xx xxxxxxxx (concours, xxxxxxxx ayant vérifié x´xxxxxxxx
xxxxxxxxxx xxxxxxxxx, etc.)
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Jiné xxxxxx xxx xxxxxxxxx xxxx
Xxxxxx xxxxxxxx
Xxxxx xxxxxxxx xxxx xxxx xxx xxxxxxx x xxxxxx xxxxxxx v xxxx xxxxxxx xxxxxxx x xxxxxxxxx jménem, xxxxxxxx x podpisem veterinárního xxxxxx.
Xxxxxxxx xxxxx xxxx xxxxxx influenza
Vaccination xxxxxx
Xxxxxxx xx xxxxx vaccination xxxxx xxx xxxxx xxxxxxxxx xxxx be xxxxxxx clearly and xx xxxxxx, and xxxxxxxxx with xxx xxxx xxx xxxxxxxxx xx xxxxxxxxxxxx.
Xxxxxxxx xxxxxx xxx la grippe xxxxxx
Xxxxxxxxxxxxxx xxx xxxxxxxxxxxx
Xxxxx xxxxxxxxxxx subie par xx xxxxxx xxxx xxxx xxxxxx xxxx xx xxxxx xx-xxxxxxx xx facon xxxxxxx xx xxxxxxx xxxx xx xxx xx xx xxxxxxxxx xx xxxxxxxxxxx.
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Xxxxxxx/Xxxxxxx/Xxxxxx Xxxxx, podpis x razítko vererinárního
Datum Xxxxx Xxxx lékaře
Date Xxxxx Country _________________________________ Xxxx, xxxxxxxxx xxx xxxxx xx
Xxxx Xxxx Xxxxx Číslo xxxxx Xxxxxx(x) xxxxxxxxxxxx
Xxxx Xxxxx xxxxxx Xxxxxxx(x) Nom, xxxxxxxxx et xxxxxx xx xxxxxxxxxxx
Xxx Xxxxxx xx lot Xxxxxxx(x)
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Xxxxxxxxx xxxxxxxxx provedené autorizovanou xxxxxxxxxx
Xxxxxxxx všech xxxxxxxxx, xxxxxxxxxxx na xxxxxxxx xxxxx xxxxxxxxxxx xxxx xxxxxxxxxx xxxxxxxxxx xxxxxx xxxxxxxxxxx xxxxxxx země, xxxx být xxxxx x xxxxxxxx xxxxxxx xxxxxxxxxxx, xxxxx xxxxxxxxxxxx xxxxxxxx xxxxxxxxxx xxxxxxxxx.
Xxxxxxxxxx xxxxxx xxxx
Xxx xxxxxx xx every xxxx xxxxxxx xxx xxx x transmissible disease xx x xxxxxxxxxxxx xx x xxxxxxxxxx xxxxxxxxxx xx xxx xxxxxxxxxx veterinary xxxxxxx xx xxx country xxxx be xxxxxxx xxxxxxx xxx xx xxxxxx xx trh xxxxxxxxxxxx xxxxxx xx xxxxxx xx xxx xxxxxxxxx xxxxxxxxxx xxx xxxx.
Xxxxxxxxx sanitaires xxxxxxxxx xxx xxx xxxxxxxxxxxx
Xx xxxxxxxx de tout xxxxxxxx xxxxxxxx xxx xx vétérinaire xxxx xxx maladie xxxxxxxxxxxxx xx xxx xx xxxxxxxxxxx agréé par xx service vétérinaire xxxxxxxxxxxxxx xx xxxx xxxx xxxx noté xxxxxxxxxx xx xx xxxxxxx xxx le xxxxxxxxxxx qui xxxxxxxxxx x´xxxxxxxx xxxxxxxxx xx xxxxxxxx.
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Xxxxxxxxxx nákazy Xxxx xxxxxxxxx Výsledek xxxxxxxxx Xxxxx xxxxxxxxx Autorizovaná xxxxxx- Jméno, xxxxxx x
Xxxxx Transmissible Xxxx xx test Xxxxxx xx xxxx Xxxxxx xxxxxx xxx, která xxxxxxxxxxx xxxxxxx xxxxxxxxxxxxx
Xxxx xxxxxxx xxxxxx for Xxxxxx xx Résultat xx Xxxxxx xx xxxxxx xxxxxx
Xxxxxxxx l´examen x´xxxxxx xxxxxxxxx Official xxxxxxxxxx xx Xxxx, xxxxxxxxx
xxxxxxxxxxxxxx xxxxx xxxxxx xx sent and xxxxx xx
xxxxxxxxxx Xxxxxxxxxxx xxxxxxxx xxxxxxxxxxxx
x´xxxxxxx xx Xxx, xxxxxxxxx xx
xxxxxxxxxxx xxxxxx xx
xxxxxxxxxxx
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Xxxxxxxx údaje xxxx
1) Identifikační číslo xxxx
Xxxxxxxxxxxxxx Xx
Xx x´xxxxxxxxxxxxxx
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 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 le
- Xxxxx xxxxxxxxxxx xxxxxx
Xxxx xx the 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 funkce podepsaného)
Signature
(Name xx capital xxxxxxx xxx xxxxxxxx xx xxxxxxxxx)
Xxxxxxxxx
(xxx en xxxxxxx xxxxxxxxx et xxxxxxx xx xxxxxxxxxx)
- Razítko
Stamp
Cachet
12) Xxxxxxxx popis
Grafický xxxxx
13) Xxxxx xxx matkou
Description xxxxx xxxx xxx xx
Xxxxxxxxxxx relevé sous xx xxxx par
a) Xxxxx
Xxxx
Xxxx
x) Xxxx přední xxxxxxxxx
Xxxxxxx X
Xxx. G
c) Xxxxx přední končetina
Foreleg X
Xxx. X
x) 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 (xxxxxxx xxxxxxx xxxxx xxxxxxxxxxx)
Xxxxxxxxx xxx stamp xx xxx competent xxxxxxxxx (xxxx xx xxxxxxxxx xx capital letters)
Signature xx xxxxxx xx xxxxxxxx xxxxxxxxxx (xxx xx signataire xx xxxxxxx xxxxxxxxx)
Xxxxxxxxx xxxxxxxxxxxxx xxxxxx x zdravotním xxxxx x nákazové xxxxxxx x chovu
Veterinary 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 xxxxxxx
xxxxxxxxx xxxx x xxxxx x xxxxx určení xxxxxxxxxxxxx lékaře
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Potvrzení xxxxxxxxxxx xxxxxx veterinární správy x nákazové xxxxxxx x okrese
Veterinary certification xxx xxxxxxxxxx xxxxxxxxx/Xxxxxxxxxx xxxxxxxxx pour xx xxxxxxxxx xxxxxxxx
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Xxxxx Xxxxxxxx xxxxxxx Doba xxxxxxxxx, xxxx Xxxxx, podpis x razítko Xxxxx xxx xxxxxxxx xxxxx
x xxxxxx x místo xxxxxx xxxxxxxxxxxxx lékaře
příslušného xxxxxx
xxxxxxxxxxx xxxxxx
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Xxxxx Místo X xxxxxx průkazu xxxx xx přiloženo Xxxxxxx x podpis xxxxxxxxxxxxx xxxxxx
Xxxx Xxxxx xxxxxxxxxx xxxxxxxxxxx osvědčení xxxxx: Name, signature xxx xxxxx of xxxxxxxxxxxx
Xxxx Xx this xxxxxxxx is xxxxxxxx xxxxxxxxxx Xxx, signature xx xxxxxx xx xxxxxxxxxxx
xxxxxxxxxx xxxxxxxxxxx No
Le xxxxxxxx xxx xxxxxxxxxx xxx certificat
sanitaire xxxxxxxx Xx
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