Příloha č. 11 x xxxxxxxx x. 357/2001 Xx.
XXXX XXXXXXX XXXX
Xxxxx o majiteli
1. Xxx xxxxxxx je xxxxxx xxxxxxxxxxx xxxx xxxxxxx xx xxxxxx xxxxxxxxxxxx xxxx xxxxxxxx.
2. Xxx změně xxxxxxxx xxxx být průkaz xxxx xx xxxxxxxx xxxxxx xxxxxxxxx xxxxxxxxxx x uvedením) xxxxx x xxxxxx xxxxxx xxxxxxxx k xxxxxxxxxxxxxx xxxxx.
3. Xxxxx xx xxx více xxx xxxxxxx xxxxxxxx, xxxx xx x xxxxxxx xxxxxxxxxxx, musí xxx x průkazu xxxxxxx xxxxx a xxxxxx xxxxxxxxxxx xxxxx xxxxxxxxx xx koně. Pokud xxxx xxxxxxxx xxxxxxx xxxxxxxx příslušenství, musí xxxxx xxxxxx příslušnost xxxx.
4. Xxxxxxxx Xxxxxxxxxxx xxxxxxxx xxxxxxxx xxxxxxx xxxxxxxx xxxx Xxxxxxx xxxxxxxxx xxxxxxxx, xxxx xxx xxxxxxxxxxx xxxx xxxxxxxxx xx xxxx xxxxxxx xxxxxxx.
Xxxxxxx of xxxxxxxxx
1. Xxx xxxxxxxxxxx xxxxxxxx, the xxxxxxxxxxx xx the xxxxx xx xxxx of xxx xxxxx.
2. Xx xxxxxx xx ownership xxx xxxxxxxx xxxx xxxxxxxxxxx xx xxxxxx xxxx xxx xxxxxxx xxxxxxxxxxxx, xxxxxxxxxxx xx xxxxxxxx xxxxxx, xxxxxx xxx name xxx xxxxxxx xx the xxx owner, xxx xxxxxxxxxxxx xxx forwarding xx xxx new xxxxx.
3. Xx xxxxx xx more than xxx xxxxx xx xxx xxxxx xx xxxxx xx x xxxxxxx, xxxx xxx xxxx xx xxx xxxxxxxxxx xxxxxxxxxxx xxx xxx horse must xx xxxxxxx xx xxx xxxxxxxx xxxxxxxx xxxx xxx xxxxxxxxxxx. Xx the owners xxx xx xxxxxxxxx xxxxxxxxxxxxx, they xxxx xx xxxxxxxxx xxx xxxxxxxxxxx xx xxx xxxxx.
4. When the Xxxxxxxxxx xxxxxxxx internationale xxxxxxxx xxx xxxxxxx xx x xxxxx xx a national xxxxxxxxxx xxxxxxxxxx, xxx xxxxxxx xx xxxxx xxxxxxxxxxxx must be xxxxxxxx by the xxxxxxxx xxxxxxxxxx xxxxxxxxxx xxxxxxxxx.
Xxxxxxx de xxxxx xx propriété
1. Xxxx xxx xxxxxxxxxxxx, xx xxxxxxxxxxx xx xxxxxx xxx celle xxx xxx xxxxxxxxxxxx.
2. Xx xxx xx changement xx propriétaire, xx xxxxxxxxx xxxx xxxx xxxxxxxxxxxxx déposé xxxxxx xx x´xxxxxxxxxxxx, x´xxxxxxxxxxx xx xx xxxxxxx xxxxxxxx x´xxxxx xxxxxxx xxxx le nom xx x´xxxxxxx xx xxxxxxx propriétaire afin xx le xxx xxxxxxxxxxx aprés xxxxxxxxxxxxxxxx.
3. X´xx x a xxxx x´xx propriétaire xx xx xx xxxxxx appartient x xxx xxxxxxx, le xxx de la xxxxxxxx responsable xxxx xx xxxxxx xxxx xxxx xxxxxxx dans xx xxxxxxxxx xxxxx xxx xx xxxxxxxxxxx. Xx les xxxxxxxxxxxxx xxxx xx nationalités xxxxxxxxxxx, xxx xxxxxxx xxxxxxxx la xxxxxxxxxxx xx xxxxxx.
4. Xxxxxxx xx Xxxxxxxxxx xxxxxxxx xxxxxxxxxxxxxx xxxxxxxx la xxxxxxxx x´xx xxxxxx xxx une Fédération xxxxxxxx xxxxxxxxx, xxx xxxxxxx xx ces xxxxxxxxxxxx xxxxxxx xxxx xxxxxxxxxxx xxx xx Xxxxxxxxxx xxxxxxxx xxxxxxxxx xxxxxxxxxx.
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Xxxxx xxxxxxxxxx Jméno xxxxxxxx Adresa majitele Xxxxxx příslušnost Xxxxxx xxxxxxxx Razítko xxxxxxxxx
xxxxxxxxx xxxxxxxxxx Xxxx xx xxxxx Address xx xxxxx xxxxxxxx Signature xx xxxxx organizace x podpis
Date xx xxxxxxxxxxxx, Nom du Xxxxxxx xx Nationality xx xxxxx Signature xx Organization,
by xxx xxxxxxxxxxxx, propriétaire xxxxxxxxxx Xxxxxxxxxxx xx propriétaire xxxxxxxxxxx xx
xxxxxxxxxxx, xx Xxxxxxxxxxx xx official xxxxxx xxxxx
xxxxxxxx xxxxxx xxxxxxxxxxxx xxx xxxxxxxxx
Xxxx x´xxxxxxxxxxxxxx Xxxxxx de x´xxxxxx-,
xxx x´xxxxxxxxxxxx, xxxxxx, xxxxxxxxxxx
x´xxxxxxxxxxx ou xx xx xxxxxxx officiel
service xxxxxxxx xx signature
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Pouze xxxxxxx xxxx
Xxxxxx o xxxxxxxx
Xxxxx očkování koně xxxx xxx xxxxxxx x xxxxxx zapsáno x xxxx xxxxxxx xxxxxxx x xxxxxxxxx xxxxxx, xxxxxxxx x xxxxxxxx veterinárního xxxxxx.
Xxxxxx xxxxxxxx only
Vaccination xxxxxx
Xxxxxxx xx xxxxx vaccination xxxxx xxx xxxxx xxxxxxxxx xxxx be xxxxxxx clearly xxx xx xxxxxx, xxx xxxxxxxxx with the xxxx xxx xxxxxxxxx xx xxxxxxxxxxxx.
Xxxxxx xxxxxx xxxxxxxxx
Xxxxxxxxxxxxxx xxx xxxxxxxxxxxx
Xxxxx xxxxxxxxxxx subie xxx xx xxxxxx doit xxxx xxxxxx xxxx xx xxxxx ci-dessous xx facon xxxxxxx xx précise xxxx xx nom xx xx xxxxxxxxx du xxxxxxxxxxx.
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Xxxxx Xxxxx Země Xxxxxxx Jméno, xxxxxx x xxxxxxx
Xxxx Place Xxxxxxx Xxxxxxx veterinárního xxxxxx
Xxxx Pays Xxxxxx Xxxx, xxxxxxxxx xxx xxxxx xx
_________________________ xxxxxxxxxxxx
Xxxxx Xxxxx série Nom, xxxxxxxxx et xxxxxx xx
Xxxx Xxxxx xxxxxx xxxxxxxxxxx
Xxx Xxxxxx du xxx
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Xxxxxxxx totožnosti xxxx xxxxxxxxx x tomto xxxxxxx
Xxxxxxxx totožnosti xxxx xx xxxxxxxxx kontrolována xxx soutěžích, xxxxxxxxx xx xxxxxxxxxxxxx xxxxxxxxxxx. Xxxxxxxxx xxxx xxxxxx xxxxxxx, xx xxxxx xxxxxxxxxxxx xxxx xx x xxxxxxx x xxxxxxxxx xxxxxxxxxxx xxxxxxxx xx příslušné straně.
Identification xx xxx xxxxx xxxxxxxxx xx xxxx xxxxxxxxx
Xxx xxxxxxxx xx xxx xxxxx xxxx xx checked xxxx xxxx xxxx is xxxxxxxx xx rules xxx xxxxxxxxxxx xxx xxxxxxxxx xxxx it xxxxxxxx with xxx xxxxxxxxxxx xxxxx xx xxx xxxxxxx page xx its xxxxxxxx.
Xxxxxxxxx x´xxxxxxxx du xxxxxx xxxxxx xxxx ce xxxxxxxxx
X´xxxxxxxx xx xxxxxx xxxx etre xxxxxxxxx xxxxxx fois que xxx xxxx xx xxxxxxxxxx x´xxxxxxx : xxxxxx cette xxxx xxxxxxxx xxx xx xxxxxxxxxxx xx xxxxxx xxxxxxxx xxx conforme x xxxxx xx xx paga du xxxxxxxxxxx.
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Xxxxx xxxxxxxx (svod, Xxxxx, xxxxxx x xxxxxx xxxxx xxxxxxxxx xxxxxxxxx
Xxxxx Xxxx a xxxx osvědčení apod.) Xxxxxxxxx, name (printed) xxx xxxxxx xx xxxxxxxx
Xxxx Xxxx xxx Xxxxxxx xx xxxxxxx (xxxxx, health xxxxxxxxx xxx xxxxxxxxxxxxxx
xxxxxxx xxxxxxxxxxx, xxx.) Signature, xxx xx xxxxxxxxx et xxxxxxx xx xx
Xxxxx xx xxxx Motif xx xxxxxxxx (xxxxxxxx, xxxxxxxx xxxxx vérifié x´xxxxxxxx
xxxxxxxxxx xxxxxxxxx, xxx.)
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Xxxx xxxxxx xxx xxxxxxxxx xxxx
Xxxxxx očkování
Každé očkování xxxx xxxx být xxxxxxx x xxxxxx xxxxxxx v xxxx xxxxxxx tabulce x xxxxxxxxx jménem, xxxxxxxx x xxxxxxxx xxxxxxxxxxxxx xxxxxx.
Xxxxxxxx other than xxxxxx xxxxxxxxx
Xxxxxxxxxxx xxxxxx
Xxxxxxx xx xxxxx vaccination xxxxx xxx horse xxxxxxxxx must be xxxxxxx xxxxxxx xxx xx xxxxxx, xxx xxxxxxxxx xxxx xxx xxxx and signature xx xxxxxxxxxxxx.
Xxxxxxxx xxxxxx xxx xx xxxxxx xxxxxx
Xxxxxxxxxxxxxx xxx xxxxxxxxxxxx
Xxxxx xxxxxxxxxxx xxxxx par xx xxxxxx xxxx xxxx portée xxxx xx xxxxx ci-dessous xx facon xxxxxxx xx précise xxxx xx xxx xx xx xxxxxxxxx xx xxxxxxxxxxx.
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Xxxxxxx/Xxxxxxx/Xxxxxx Xxxxx, xxxxxx x xxxxxxx xxxxxxxxxxxxx
Xxxxx Xxxxx Xxxx lékaře
Date Xxxxx Xxxxxxx _________________________________ Xxxx, xxxxxxxxx xxx xxxxx xx
Xxxx Xxxx Xxxxx Číslo xxxxx Xxxxxx(x) xxxxxxxxxxxx
Xxxx Batch xxxxxx Xxxxxxx(x) Xxx, xxxxxxxxx xx xxxxxx xx xxxxxxxxxxx
Xxx Xxxxxx xx lot Maladie(s)
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Zdravotní xxxxxxxxx provedené xxxxxxxxxxxxx xxxxxxxxxx
Xxxxxxxx xxxxx xxxxxxxxx, xxxxxxxxxxx na xxxxxxxx xxxxx xxxxxxxxxxx xxxx xxxxxxxxxx xxxxxxxxxx xxxxxx xxxxxxxxxxx xxxxxxx xxxx, xxxx být jasně x xxxxxxxx xxxxxxx xxxxxxxxxxx, xxxxx xxxxxxxxxxxx xxxxxxxx xxxxxxxxxx xxxxxxxxx.
Xxxxxxxxxx xxxxxx xxxx
Xxx xxxxxx xx xxxxx test xxxxxxx xxx xxx x transmissible xxxxxxx xx x veterinarian xx x xxxxxxxxxx xxxxxxxxxx xx xxx xxxxxxxxxx xxxxxxxxxx service xx xxx xxxxxxx xxxx xx entered xxxxxxx xxx xx xxxxxx by xxx xxxxxxxxxxxx xxxxxx xx xxxxxx xx xxx xxxxxxxxx xxxxxxxxxx the xxxx.
Xxxxxxxxx xxxxxxxxxx xxxxxxxxx xxx xxx xxxxxxxxxxxx
Xx xxxxxxxx xx tout xxxxxxxx xxxxxxxx xxx xx xxxxxxxxxxx xxxx xxx xxxxxxx xxxxxxxxxxxxx xx xxx xx xxxxxxxxxxx agréé par xx service xxxxxxxxxxx xxxxxxxxxxxxxx du pays xxxx xxxx xxxx xxxxxxxxxx xx xx xxxxxxx xxx le xxxxxxxxxxx qui xxxxxxxxxx x´xxxxxxxx demandant le xxxxxxxx.
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Xxxxxxxxxx nákazy Druh xxxxxxxxx Xxxxxxxx vyšetření Xxxxx xxxxxxxxx Autorizovaná xxxxxx- Xxxxx, podpis x
Xxxxx Xxxxxxxxxxxxx Xxxx xx test Result xx xxxx Xxxxxx xxxxxx toř, xxxxx xxxxxxxxxxx xxxxxxx xxxxxxxxxxxxx
Xxxx xxxxxxx tested xxx Xxxxxx de Résultat xx Xxxxxx xx xxxxxx xxxxxx
Xxxxxxxx l´examen x´xxxxxx xxxxxxxxx Official xxxxxxxxxx xx Name, xxxxxxxxx
xxxxxxxxxxxxxx xxxxx sample xx xxxx and xxxxx of
concernées Xxxxxxxxxxx xxxxxxxx xxxxxxxxxxxx
x´xxxxxxx xx Xxx, xxxxxxxxx xx
xxxxxxxxxxx xxxxxx du
vétérinaire
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Základní xxxxx xxxx
1) Xxxxxxxxxxxxx číslo xxxx
Xxxxxxxxxxxxxx No
No x´xxxxxxxxxxxxxx
2) Xxxxx
Xxxx
Xxx
3) Pohlaví
Sex
Sexe
4) Barva
Colour
Robe
5) Xxxxxxx
Xxxxx
Xxxx
6) Xxxx
Xxxx
Xxxx
7x) Xxxxx 7x) Otec matky
Dam xx
Xxxx xxx
8) Xxxxx xxxxxxxx
Xxxx xx foaling
Date xx naissance
9) Xxxxx xxxxxxxx
Xxxxx xxxxx xxxx
Xxxx x´xxxxxxx
10) Xxxxxxxx(x)
Xxxxxxx(x)
Xxxxxxxx(x)
11) Xxxxxxxxx xxx
xxxxxxxxx xx
xxxxxx 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 xx xxxxxxxxx
- Xxxxxx
(xxxxxxx xxxxxxx jméno x xxxxxx xxxxxxxxxxx)
Xxxxxxxxx
(Xxxx xx xxxxxxx xxxxxxx xxx xxxxxxxx xx xxxxxxxxx)
Xxxxxxxxx
(xxx xx xxxxxxx xxxxxxxxx xx qualité xx xxxxxxxxxx)
- Xxxxxxx
Xxxxx
Xxxxxx
12) Xxxxxxxx popis
Grafický popis
13) Xxxxx pod matkou
Description xxxxx with xxx xx
Xxxxxxxxxxx relevé xxxx xx xxxx par
a) Xxxxx
Xxxx
Xxxx
x) Levá přední xxxxxxxxx
Xxxxxxx X
Xxx. X
x) Xxxxx přední končetina
Foreleg X
Xxx. X
x) Xxxx xxxxx xxxxxxxxx
Xxxxxxx L
Post X
x) Xxxxx xxxxx xxxxxxxxx
Xxxxxxx R
Post X
x) Xxxx
Xxxx
Xxxxx
x) Odznaky
Markings
Marques
h) Dne
On
Le
14) Xxxxxx x razítko xxxxxxxxxxx xxxxxx (xxxxxxx xxxxxxx xxxxx xxxxxxxxxxx)
Xxxxxxxxx xxx stamp xx xxx competent authority (xxxx xx xxxxxxxxx xx xxxxxxx xxxxxxx)
Xxxxxxxxx xx xxxxxx xx xxxxxxxx competente (xxx xx xxxxxxxxxx xx xxxxxxx xxxxxxxxx)
Xxxxxxxxx veterinárního xxxxxx x xxxxxxxxxx xxxxx x xxxxxxxx xxxxxxx x xxxxx
Xxxxxxxxxx xxxxxxxxxxxxx for xxxxxxxxxx xxxxxxxxx/Xxxxxxxxxx xxxxxxxxx xxxx xx xxxxxxxxx xxxxxxxx
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Xxxxx Xxxxxxxx klinického Xxxxxxxx xxxxxxx Xxxx xxxxxxxxx, xxxx xxxxxx Jméno, xxxxxx a razítko
vyšetření xxxx x xxxxx x xxxxx xxxxxx xxxxxxxxxxxxx lékaře
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Potvrzení xxxxxxxxxxx xxxxxx veterinární správy x nákazové xxxxxxx x okrese
Veterinary xxxxxxxxxxxxx xxx intrastate xxxxxxxxx/Xxxxxxxxxx xxxxxxxxx pour xx xxxxxxxxx xxxxxxxx
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Xxxxx Xxxxxxxx xxxxxxx Xxxx xxxxxxxxx, xxxx Xxxxx, podpis x xxxxxxx Místo xxx xxxxxxxx kolku
v xxxxxx x xxxxx xxxxxx xxxxxxxxxxxxx xxxxxx
xxxxxxxxxxx xxxxxx
xxxxxxxxxxx správy
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Datum Xxxxx X xxxxxx xxxxxxx xxxx xx přiloženo Xxxxxxx a podpis xxxxxxxxxxxxx lékaře
Date Xxxxx xxxxxxxxxx xxxxxxxxxxx xxxxxxxxx xxxxx: Xxxx, xxxxxxxxx xxx stamp xx xxxxxxxxxxxx
Xxxx Xx this xxxxxxxx is xxxxxxxx xxxxxxxxxx Xxx, signature xx xxxxxx xx xxxxxxxxxxx
xxxxxxxxxx certificate Xx
Xx xxxxxxxx xxx accompagné xxx certificat
sanitaire officiel Xx
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