Příloha x. 11 x xxxxxxxx č. 357/2001 Sb.
VZOR PRŮKAZU XXXX
Xxxxx o majiteli
1. Xxx xxxxxxx xx xxxxxx příslušnost koně xxxxxxx xx xxxxxx xxxxxxxxxxxx xxxx majitele.
2. Xxx xxxxx xxxxxxxx xxxx xxx xxxxxx xxxx co xxxxxxxx xxxxxx xxxxxxxxx organizaci x xxxxxxxx) jména x adresy xxxxxx xxxxxxxx x xxxxxxxxxxxxxx xxxxx.
3. Xxxxx má xxx xxxx xxx xxxxxxx xxxxxxxx, xxxx xx x majetku xxxxxxxxxxx, xxxx být x xxxxxxx uvedeno xxxxx x xxxxxx xxxxxxxxxxx xxxxx odpovědné xx xxxx. Pokud xxxx xxxxxxxx různých xxxxxxxx xxxxxxxxxxxxx, xxxx xxxxx státní příslušnost xxxx.
4. Xxxxxxxx Mezinárodní xxxxxxxx xxxxxxxx xxxxxxx xxxxxxxx koně Xxxxxxx xxxxxxxxx xxxxxxxx, xxxx xxx xxxxxxxxxxx xxxx xxxxxxxxx xx xxxx xxxxxxx xxxxxxx.
Xxxxxxx of xxxxxxxxx
1. Xxx competitive xxxxxxxx, xxx xxxxxxxxxxx xx the xxxxx xx xxxx xx xxx xxxxx.
2. Xx xxxxxx xx xxxxxxxxx xxx passport xxxx xxxxxxxxxxx xx lodged xxxx xxx issuing xxxxxxxxxxxx, xxxxxxxxxxx xx xxxxxxxx xxxxxx, giving xxx xxxx and xxxxxxx of xxx xxx owner, for xxxxxxxxxxxx and xxxxxxxxxx xx the new xxxxx.
3. Xx there xx more xxxx xxx xxxxx xx xxx horse is xxxxx xx x xxxxxxx, xxxx the xxxx of the xxxxxxxxxx xxxxxxxxxxx xxx xxx horse xxxx xx xxxxxxx xx xxx passport together xxxx his nationality. Xx xxx owners xxx of different xxxxxxxxxxxxx, they xxxx xx xxxxxxxxx xxx xxxxxxxxxxx xx xxx xxxxx.
4. Xxxx the Xxxxxxxxxx xxxxxxxx xxxxxxxxxxxxxx xxxxxxxx xxx leasing xx a xxxxx xx a xxxxxxxx xxxxxxxxxx xxxxxxxxxx, xxx xxxxxxx xx xxxxx xxxxxxxxxxxx must xx xxxxxxxx xx the xxxxxxxx xxxxxxxxxx federation xxxxxxxxx.
Xxxxxxx de droit xx xxxxxxxxx
1. Pour xxx xxxxxxxxxxxx, xx xxxxxxxxxxx xx xxxxxx xxx xxxxx xxx xxx xxxxxxxxxxxx.
2. Xx xxx xx changement xx xxxxxxxxxxxx, xx xxxxxxxxx xxxx etre xxxxxxxxxxxxx xxxxxx xxxxxx xx x´xxxxxxxxxxxx, x´xxxxxxxxxxx xx xx xxxxxxx xxxxxxxx x´xxxxx délivré xxxx le xxx xx x´xxxxxxx du xxxxxxx propriétaire xxxx xx le xxx xxxxxxxxxxx xxxxx xxxxxxxxxxxxxxxx.
3. X´xx y x xxxx x´xx propriétaire xx xx le xxxxxx appartient x xxx société, xx xxx xx xx xxxxxxxx xxxxxxxxxxx xxxx xx cheval doit xxxx inscrit dans xx xxxxxxxxx xxxxx xxx xx xxxxxxxxxxx. Xx xxx xxxxxxxxxxxxx xxxx xx xxxxxxxxxxxx xxxxxxxxxxx, xxx doivent xxxxxxxx la xxxxxxxxxxx xx xxxxxx.
4. Lorsque xx Xxxxxxxxxx équestre xxxxxxxxxxxxxx approuve la xxxxxxxx x´xx xxxxxx xxx une Xxxxxxxxxx xxxxxxxx xxxxxxxxx, xxx xxxxxxx de xxx xxxxxxxxxxxx xxxxxxx xxxx xxxxxxxxxxx xxx la Xxxxxxxxxx xxxxxxxx xxxxxxxxx xxxxxxxxxx.
_________________________________________________________________________________________
Xxxxx xxxxxxxxxx Jméno xxxxxxxx Xxxxxx xxxxxxxx Xxxxxx xxxxxxxxxxx Xxxxxx xxxxxxxx Xxxxxxx xxxxxxxxx
xxxxxxxxx xxxxxxxxxx Name xx xxxxx Xxxxxxx xx xxxxx xxxxxxxx Xxxxxxxxx xx owner xxxxxxxxxx x xxxxxx
Xxxx xx xxxxxxxxxxxx, Xxx xx Xxxxxxx du Nationality xx xxxxx Xxxxxxxxx xx Organization,
by xxx xxxxxxxxxxxx, propriétaire xxxxxxxxxx Xxxxxxxxxxx xx xxxxxxxxxxxx xxxxxxxxxxx or
association, or Xxxxxxxxxxx xx xxxxxxxx xxxxxx xxxxx
xxxxxxxx xxxxxx xxxxxxxxxxxx xxx xxxxxxxxx
Xxxx x´xxxxxxxxxxxxxx Xxxxxx xx x´xxxxxx-,
xxx x´xxxxxxxxxxxx, xxxxxx, xxxxxxxxxxx
x´xxxxxxxxxxx xx xx xx xxxxxxx xxxxxxxx
xxxxxxx xxxxxxxx xx signature
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Pouze xxxxxxx xxxx
Xxxxxx x xxxxxxxx
Xxxxx očkování xxxx xxxx xxx čitelně x xxxxxx xxxxxxx x xxxx xxxxxxx xxxxxxx x xxxxxxxxx xxxxxx, podpisem x xxxxxxxx xxxxxxxxxxxxx lékaře.
Equine xxxxxxxx only
Vaccination record
Details xx xxxxx vaccination xxxxx the xxxxx xxxxxxxxx xxxx be xxxxxxx xxxxxxx xxx xx xxxxxx, xxx xxxxxxxxx with xxx xxxx xxx xxxxxxxxx xx xxxxxxxxxxxx.
Xxxxxx xxxxxx xxxxxxxxx
Xxxxxxxxxxxxxx xxx xxxxxxxxxxxx
Xxxxx xxxxxxxxxxx xxxxx xxx xx cheval doit xxxx portée dans xx cadre ci-dessous xx xxxxx xxxxxxx xx xxxxxxx avec xx nom et xx signature xx xxxxxxxxxxx.
________________________________________________________________________________________
Xxxxx Místo Země Xxxxxxx Xxxxx, xxxxxx x razítko
Date Xxxxx Xxxxxxx Xxxxxxx xxxxxxxxxxxxx xxxxxx
Xxxx Pays Xxxxxx Xxxx, xxxxxxxxx xxx xxxxx xx
_________________________ xxxxxxxxxxxx
Xxxxx Xxxxx xxxxx Nom, xxxxxxxxx xx xxxxxx xx
Xxxx Xxxxx xxxxxx xxxxxxxxxxx
Xxx Xxxxxx xx xxx
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Xxxxxxxx totožnosti koně xxxxxxxxx v tomto xxxxxxx
Xxxxxxxx totožnosti koně xx xxxxxxxxx kontrolována xxx soutěžích, xxxxxxxxx xx veterinárních xxxxxxxxxxx. Xxxxxxxxx xxxx strany xxxxxxx, že popis xxxxxxxxxxxx xxxx xx x xxxxxxx s xxxxxxxxx znázorněním xxxxxxxx xx xxxxxxxxx xxxxxx.
Xxxxxxxxxxxxxx xx xxx xxxxx xxxxxxxxx xx xxxx xxxxxxxxx
Xxx xxxxxxxx xx xxx horse xxxx xx xxxxxxx xxxx xxxx xxxx xx xxxxxxxx xx xxxxx xxx xxxxxxxxxxx xxx xxxxxxxxx xxxx xx xxxxxxxx with the xxxxxxxxxxx xxxxx xx xxx xxxxxxx page xx xxx passport.
Controles x´xxxxxxxx du cheval xxxxxx dans ce xxxxxxxxx
X´xxxxxxxx xx cheval xxxx etre xxxxxxxxx xxxxxx fois xxx xxx xxxx xx xxxxxxxxxx x´xxxxxxx : xxxxxx cette xxxx xxxxxxxx xxx xx xxxxxxxxxxx xx cheval xxxxxxxx xxx conforme x xxxxx de xx paga xx xxxxxxxxxxx.
________________________________________________________________________________________
Xxxxx xxxxxxxx (xxxx, Xxxxx, xxxxxx x xxxxxx xxxxx xxxxxxxxx xxxxxxxxx
Xxxxx Xxxx x xxxx osvědčení xxxx.) Xxxxxxxxx, xxxx (xxxxxxx) xxx xxxxxx xx xxxxxxxx
Xxxx Xxxx and Xxxxxxx xx xxxxxxx (xxxxx, xxxxxx xxxxxxxxx xxx identification
country xxxxxxxxxxx, xxx.) Signature, xxx xx xxxxxxxxx et xxxxxxx xx la
Ville xx xxxx Xxxxx xx xxxxxxxx (xxxxxxxx, xxxxxxxx ayant xxxxxxx x´xxxxxxxx
xxxxxxxxxx xxxxxxxxx, xxx.)
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Xxxx xxxxxx xxx influenza xxxx
Xxxxxx xxxxxxxx
Xxxxx očkování xxxx musí xxx xxxxxxx a xxxxxx xxxxxxx x xxxx xxxxxxx xxxxxxx x xxxxxxxxx xxxxxx, xxxxxxxx x podpisem veterinárního xxxxxx.
Xxxxxxxx other xxxx xxxxxx influenza
Vaccination record
Details xx xxxxx xxxxxxxxxxx xxxxx the horse xxxxxxxxx xxxx be xxxxxxx xxxxxxx xxx xx xxxxxx, xxx xxxxxxxxx with xxx xxxx xxx xxxxxxxxx xx xxxxxxxxxxxx.
Xxxxxxxx xxxxxx xxx la grippe xxxxxx
Xxxxxxxxxxxxxx xxx vaccinations
Toute xxxxxxxxxxx xxxxx par xx xxxxxx xxxx xxxx xxxxxx xxxx xx xxxxx ci-dessous xx xxxxx xxxxxxx xx xxxxxxx avec xx xxx xx xx xxxxxxxxx du xxxxxxxxxxx.
_________________________________________________________________________________________
Xxxxxxx/Xxxxxxx/Xxxxxx Xxxxx, podpis x razítko xxxxxxxxxxxxx
Xxxxx Xxxxx Země lékaře
Date Xxxxx Xxxxxxx _________________________________ Xxxx, signature xxx xxxxx xx
Xxxx Xxxx Xxxxx Xxxxx série Xxxxxx(x) xxxxxxxxxxxx
Xxxx Xxxxx xxxxxx Disease(s) Xxx, xxxxxxxxx xx cachet xx xxxxxxxxxxx
Xxx Xxxxxx xx xxx Maladie(s)
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Zdravotní xxxxxxxxx provedené autorizovanou xxxxxxxxxx
Xxxxxxxx všech xxxxxxxxx, xxxxxxxxxxx xx přenosou xxxxx xxxxxxxxxxx nebo xxxxxxxxxx schválenou xxxxxx xxxxxxxxxxx xxxxxxx xxxx, xxxx xxx jasně x xxxxxxxx xxxxxxx xxxxxxxxxxx, který xxxxxxxxxxxx xxxxxxxx xxxxxxxxxx xxxxxxxxx.
Xxxxxxxxxx xxxxxx xxxx
Xxx xxxxxx xx every test xxxxxxx xxx xxx x xxxxxxxxxxxxx disease xx x veterinarian xx x laboratory xxxxxxxxxx xx xxx xxxxxxxxxx xxxxxxxxxx service xx the xxxxxxx xxxx be entered xxxxxxx xxx xx xxxxxx xx xxx xxxxxxxxxxxx xxxxxx on xxxxxx of xxx xxxxxxxxx xxxxxxxxxx xxx xxxx.
Xxxxxxxxx xxxxxxxxxx xxxxxxxxx xxx des xxxxxxxxxxxx
Xx xxxxxxxx xx xxxx xxxxxxxx effectué xxx xx vétérinaire xxxx xxx xxxxxxx xxxxxxxxxxxxx xx xxx xx xxxxxxxxxxx agréé par xx xxxxxxx xxxxxxxxxxx xxxxxxxxxxxxxx xx pays xxxx etre xxxx xxxxxxxxxx xx en xxxxxxx xxx le xxxxxxxxxxx qui représente x´xxxxxxxx xxxxxxxxx xx xxxxxxxx.
_________________________________________________________________________________________
Xxxxxxxxxx xxxxxx Druh xxxxxxxxx Xxxxxxxx xxxxxxxxx Xxxxx xxxxxxxxx Xxxxxxxxxxxx xxxxxx- Xxxxx, podpis x
Xxxxx Xxxxxxxxxxxxx Xxxx xx xxxx Xxxxxx xx xxxx Xxxxxx xxxxxx xxx, xxxxx xxxxxxxxxxx xxxxxxx xxxxxxxxxxxxx
Xxxx xxxxxxx xxxxxx xxx Xxxxxx de Xxxxxxxx xx Xxxxxx du xxxxxx xxxxxx
Xxxxxxxx l´examen x´xxxxxx protocole Xxxxxxxx xxxxxxxxxx xx Name, xxxxxxxxx
xxxxxxxxxxxxxx which xxxxxx xx xxxx xxx xxxxx xx
xxxxxxxxxx Xxxxxxxxxxx xxxxxxxx xxxxxxxxxxxx
x´xxxxxxx du Xxx, xxxxxxxxx xx
xxxxxxxxxxx xxxxxx xx
xxxxxxxxxxx
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Xxxxxxxx xxxxx xxxx
1) Identifikační xxxxx xxxx
Xxxxxxxxxxxxxx No
No x´xxxxxxxxxxxxxx
2) Xxxxx
Xxxx
Xxx
3) Xxxxxxx
Xxx
Xxxx
4) Xxxxx
Xxxxxx
Xxxx
5) Xxxxxxx
Xxxxx
Xxxx
6) Xxxx
Xxxx
Xxxx
7x) Xxxxx 7x) Xxxx xxxxx
Xxx xx
Xxxx par
8) Xxxxx xxxxxxxx
Xxxx xx xxxxxxx
Xxxx xx xxxxxxxxx
9) Xxxxx xxxxxxxx
Xxxxx xxxxx bred
Lieu x´xxxxxxx
10) Chovatel(é)
Breeder(s)
Naisseur(s)
11) Xxxxxxxxx xxx
xxxxxxxxx on
validé le
- Xxxxx xxxxxxxxxxx xxxxxx
Xxxx xx xxx competent xxxxxxxxx
Xxx de x´xxxxxxxx xxxxxxxxx
- Adresa
Address
Adresse
- Xxxxxxx
Xxxxxxxxx Xx
Xxxxxxxx xxxxx
- Xxx
Xxx xxxxxx
X xx xxxxxxxxx
- Xxxxxx
(xxxxxxx písmeny jméno x xxxxxx podepsaného)
Signature
(Name xx capital letters xxx xxxxxxxx of xxxxxxxxx)
Xxxxxxxxx
(xxx xx xxxxxxx xxxxxxxxx xx xxxxxxx xx xxxxxxxxxx)
- Xxxxxxx
Xxxxx
Xxxxxx
12) Xxxxxxxx xxxxx
Xxxxxxxx xxxxx
13) Xxxxx pod matkou
Description xxxxx xxxx xxx xx
Xxxxxxxxxxx xxxxxx xxxx xx mére xxx
x) Xxxxx
Xxxx
Xxxx
x) Levá xxxxxx xxxxxxxxx
Xxxxxxx X
Xxx. X
x) Xxxxx xxxxxx xxxxxxxxx
Xxxxxxx X
Xxx. X
x) Levá xxxxx končetina
Hindleg X
Xxxx X
x) Xxxxx xxxxx xxxxxxxxx
Xxxxxxx X
Xxxx D
f) Xxxx
Xxxx
Xxxxx
x) Xxxxxxx
Xxxxxxxx
Xxxxxxx
x) Xxx
Xx
Xx
14) Xxxxxx a xxxxxxx xxxxxxxxxxx xxxxxx (xxxxxxx xxxxxxx xxxxx xxxxxxxxxxx)
Xxxxxxxxx xxx xxxxx of xxx xxxxxxxxx xxxxxxxxx (xxxx xx xxxxxxxxx xx xxxxxxx xxxxxxx)
Xxxxxxxxx xx xxxxxx xx xxxxxxxx xxxxxxxxxx (nom xx xxxxxxxxxx en xxxxxxx capitales)
Potvrzení veterinárního xxxxxx x xxxxxxxxxx xxxxx x xxxxxxxx xxxxxxx x xxxxx
Xxxxxxxxxx xxxxxxxxxxxxx for intrastate xxxxxxxxx/Xxxxxxxxxx xxxxxxxxx xxxx xx xxxxxxxxx indigéne
_________________________________________________________________________________________
Datum Xxxxxxxx klinického Xxxxxxxx xxxxxxx Xxxx xxxxxxxxx, xxxx xxxxxx Jméno, xxxxxx x xxxxxxx
xxxxxxxxx xxxx x chovu x xxxxx určení xxxxxxxxxxxxx xxxxxx
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Xxxxxxxxx xxxxxxxxxxx xxxxxx veterinární správy x xxxxxxxx xxxxxxx x xxxxxx
Xxxxxxxxxx xxxxxxxxxxxxx xxx xxxxxxxxxx xxxxxxxxx/Xxxxxxxxxx xxxxxxxxx xxxx le xxxxxxxxx indigéne
________________________________________________________________________________________
Datum Xxxxxxxx xxxxxxx Doba xxxxxxxxx, xxxx Xxxxx, podpis x razítko Xxxxx xxx xxxxxxxx kolku
v xxxxxx a místo xxxxxx veterinárního xxxxxx
xxxxxxxxxxx xxxxxx
xxxxxxxxxxx xxxxxx
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Xxxxx Místo X tomuto průkazu xxxx je xxxxxxxxx Xxxxxxx x xxxxxx xxxxxxxxxxxxx xxxxxx
Xxxx Place xxxxxxxxxx xxxxxxxxxxx xxxxxxxxx xxxxx: Name, signature xxx stamp xx xxxxxxxxxxxx
Xxxx To this xxxxxxxx is attached xxxxxxxxxx Xxx, xxxxxxxxx xx xxxxxx xx xxxxxxxxxxx
xxxxxxxxxx xxxxxxxxxxx Xx
Xx xxxxxxxx xxx xxxxxxxxxx xxx certificat
sanitaire xxxxxxxx Xx
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________