Ãîëîâíà ñòîð³íêà á³çíåñ-ïîðòàëó "Ëåîíîðì"

 

ÒΠ«Í²Ö «ËÅÎÍÎÐÌ» º Îô³ö³éíèì ïàðòíåðîì ÄÏ «ÓêðÍÄÍÖ» òà óïîâíîâàæåíèì íà ðåàë³çàö³þ Îô³ö³éíèõ òåêñò³â ÍÄ â åëåêòðîííîìó âèãëÿä³. Ñòðîê íàäàííÿ ïîñëóãè: ïðîòÿãîì 1-2 ðîáî÷èõ äí³â ï³ñëÿ íàäõîäæåííÿ ãðîøîâèõ êîøò³â..

ÊÎÍÒÀÊÒÈ ÍÎÂÈÍÈ ÐŪÑÒÐÀÖ²ß ÌÀÃÀÇÈÍ ÍÎÐÌÀÒÈÂͲ ÀÊÒÈ ÏÎØÓÊ (RUS)

̲ͲÑÒÅÐÑÒÂÎ ÀÃÐÀÐÍί ÏÎ˲ÒÈÊÈ ÒÀ ÏÐÎÄÎÂÎËÜÑÒÂÀ ÓÊÐÀ¯ÍÈ

ÍÀÊÀÇ

26.10.2017

ì. Êè¿â

N 578

Çàðåºñòðîâàíî â ̳í³ñòåðñòâ³ þñòèö³¿ Óêðà¿íè
13 ëèñòîïàäà 2017 ð. çà N 1381/31249

Ïðî âíåñåííÿ çì³í äî Ïðàâèë çàïîâíåííÿ, çáåð³ãàííÿ, ñïèñàííÿ âåòåðèíàðíèõ äîêóìåíò³â òà âèìîã äî ¿õ îáë³êó

³äïîâ³äíî äî ñòàòò³ 32 Çàêîíó Óêðà¿íè "Ïðî âåòåðèíàðíó ìåäèöèíó", ïóíêòó 11 Ïîðÿäêó âèäà÷³ âåòåðèíàðíèõ äîêóìåíò³â, çàòâåðäæåíîãî ïîñòàíîâîþ Êàá³íåòó ̳í³ñòð³â Óêðà¿íè â³ä 21 ëèñòîïàäà 2013 ðîêó N 857 (³ç çì³íàìè),

ÍÀÊÀÇÓÞ:

1. Óíåñòè äî Ïðàâèë çàïîâíåííÿ, çáåð³ãàííÿ, ñïèñàííÿ âåòåðèíàðíèõ äîêóìåíò³â òà âèìîã äî ¿õ îáë³êó, çàòâåðäæåíèõ íàêàçîì ̳í³ñòåðñòâà àãðàðíî¿ ïîë³òèêè òà ïðîäîâîëüñòâà Óêðà¿íè â³ä 01 ñåðïíÿ 2014 ðîêó N 288, çàðåºñòðîâàíèõ â ̳í³ñòåðñòâ³ þñòèö³¿ Óêðà¿íè 03 æîâòíÿ 2014 ðîêó çà N 1202/25979, òàê³ çì³íè:

1) ó ðîçä³ë³ I:

ó àáçàö³ äðóãîìó ïóíêòó 1.1 öèôðè "12" çàì³íèòè öèôðàìè "13";

ïóíêò 1.2 ï³ñëÿ ñë³â "âåòåðèíàðíî¿ äîâ³äêè" äîïîâíèòè ñëîâàìè ", âåòåðèíàðíî-ñàí³òàðí³ ïàñïîðòè íà òâàðèí";

ó ïóíêò³ 1.3 ñëîâà "Ïðî áåçïå÷í³ñòü òà ÿê³ñòü õàð÷îâèõ ïðîäóêò³â" çàì³íèòè ñëîâàìè "Ïðî îñíîâí³ ïðèíöèïè òà âèìîãè äî áåçïå÷íîñò³ òà ÿêîñò³ õàð÷îâèõ ïðîäóêò³â";

2) ó ðîçä³ë³ II:

ïóíêò 2.5 äîïîâíèòè íîâèì àáçàöîì òàêîãî çì³ñòó:

"Äî âåòåðèíàðíî-ñàí³òàðíîãî ïàñïîðòà íà òâàðèíó, êð³ì çàãàëüíèõ äàíèõ ïðî òâàðèíó, âíîñÿòü äàí³ ïðî ïðîâåäåííÿ äåãåëüì³íòèçàö³¿, îáîâ'ÿçêîâîãî ùåïëåííÿ â³ä ñêàçó òà ³íøèõ ³íôåêö³éíèõ õâîðîá.";

äîïîâíèòè ðîçä³ë íîâèì ïóíêòîì 2.8 òàêîãî çì³ñòó:

"2.8. Ïóíêòè 2.1 - 2.4, àáçàö òðåò³é ïóíêòó 2.5 íå ïîøèðþþòüñÿ íà ïðàâèëà çàïîâíåííÿ âåòåðèíàðíî-ñàí³òàðíèõ ïàñïîðò³â íà òâàðèí.";

3) ðîçä³ë III äîïîâíèòè íîâèì ïóíêòîì 3.4 òàêîãî çì³ñòó:

"3.4. ϳäñòàâîþ äëÿ îôîðìëåííÿ âåòåðèíàðíî-ñàí³òàðíîãî ïàñïîðòà íà òâàðèíó º îãëÿä òâàðèíè äåðæàâíèì ³íñïåêòîðîì âåòåðèíàðíî¿ ìåäèöèíè, óïîâíîâàæåíèì òà/àáî ë³öåíçîâàíèì ë³êàðåì âåòåðèíàðíî¿ ìåäèöèíè òà íàÿâí³ñòü â³äïîâ³äíèõ ä³àãíîñòè÷íèõ, ïðîô³ëàêòè÷íî-ë³êóâàëüíèõ îáðîáîê, âêëþ÷àþ÷è äîñë³äæåííÿ ³ ùåïëåííÿ.

Âåòåðèíàðíî-ñàí³òàðíèé ïàñïîðò íà òâàðèíó ä³éñíèé äî ìîìåíòó ¿¿ ñìåðò³.";

4) äîïîâíèòè Ïðàâèëà íîâèì äîäàòêîì 13, ùî äîäàºòüñÿ.

2. Äåïàðòàìåíòó òâàðèííèöòâà ó âñòàíîâëåíîìó ïîðÿäêó ïîäàòè öåé íàêàç íà äåðæàâíó ðåºñòðàö³þ äî ̳í³ñòåðñòâà þñòèö³¿ Óêðà¿íè.

3. Öåé íàêàç íàáèðຠ÷èííîñò³ ç äíÿ éîãî îô³ö³éíîãî îïóáë³êóâàííÿ.

4. Êîíòðîëü çà âèêîíàííÿì öüîãî íàêàçó çàëèøàþ çà ñîáîþ.

 

Ïåðøèé çàñòóïíèê ̳í³ñòðà

Ì. Ìàðòèíþê

ÏÎÃÎÄÆÅÍÎ:

 

Â. î. Ãîëîâè Äåðæàâíî¿
ô³ñêàëüíî¿ ñëóæáè Óêðà¿íè

Ì. Â. Ïðîäàí

Ãîëîâà Äåðæàâíî¿ ñëóæáè
Óêðà¿íè ç ïèòàíü áåçïå÷íîñò³
õàð÷îâèõ ïðîäóêò³â òà
çàõèñòó ñïîæèâà÷³â

Â. Ëàïà

 

ÂÅÒÅÐÈÍÀÐÍÎ-ÑÀͲÒÀÐÍÈÉ ÏÀÑÏÎÐÒ ÍÀ ÒÂÀÐÈÍÓ

 

  

PET
PASSPORT
Ïàñïîðò äîìàøíüî¿ òâàðèíè


 

Êîä ISO Óêðà¿íè + íîìåð ïàñïîðòà


 

 

_____________________________________________________________________________________

 

 

 

 

 

 

 

 

 


 

 

 

  

PET
PASSPORT
Ïàñïîðò äîìàøíüî¿ òâàðèíè


 

 

 

Êîä ISO Óêðà¿íè + íîìåð ïàñïîðòà


 

Ñòîð. 1 ç Õ


 

_____________________________________________________________________________________

 

Ïîÿñíåííÿ äî çàïîâíåííÿ ïàñïîðòà
Explanatory notes for completing the passport

Ó âñ³õ ðîçä³ëàõ ïàñïîðòà âèêîðèñòîâóºòüñÿ òàêèé ôîðìàò äëÿ çàçíà÷åííÿ:
äàòè: ää/ìì/ðððð
÷àñó: 00:00.

In each Section of the passport the following format shall be used to indicate
a date: dd/mm/yyyy
a time: 00:00

Ïóíêòè 4 - 6 ðîçä³ëó III çàïîâíþþòüñÿ ó ðàç³, ÿêùî òâàðèíà ìຠ÷³òêå êëåéìî, íàíåñåíå íå ï³çí³øå 03 ëèïíÿ 2011 ðîêó, ³ íå ìàðêîâàíà øëÿõîì ³ìïëàíòóâàííÿ ì³êðî÷èïà (òðàíñïîíäåðà).
Section III, points 4 - 6: information required where the animal has a clearly readable tattoo applied before 3 July 2011 and is not marked by the implantation of a transponder.

Ðîçä³ë V çàïîâíþºòüñÿ ò³ëüêè:
ïåðåä ïåðåâåçåííÿì äî ³íøî¿ äåðæàâè - ÷ëåíà ªÑ /... â³äïîâ³äíî äî çàêîíîäàâñòâà ªÑ ó ñôåð³ çäîðîâ'ÿ òâàðèí; àáî
ó âèïàäêó ïîâåðíåííÿ òâàðèíè äî ªÑ/... ï³ñëÿ òðàíñïîðòóâàííÿ íà îêðåì³ òåðèòî𳿠àáî äî òðåò³õ êðà¿í (çàïîâíþºòüñÿ ïåðåä âèâåçåííÿì òâàðèíè ç ªÑ/...); àáî
â³äïîâ³äíî äî âèìîã çàêîíîäàâñòâà ªÑ ó ñôåð³ çäîðîâ'ÿ òâàðèí çã³äíî ç íàö³îíàëüíèì çàêîíîäàâñòâîì.
Section V: only required
before movement into another Member State/... in accordance with EU animal health legislation; or
where the animal re-enters the Union/... after a movement to territories or third countries (to be completed before the animal leaves the Union/...);
or
in accordance with EU animal health legislation
in accordance with national legislation.

Ãðàôó "IJª Ç2" ðîçä³ëó V íå ïîòð³áíî çàïîâíþâàòè ó âèïàäêó ðåâàêöèíàö³¿.
Section V, "VALID FROM2": information not required for booster vaccinations.

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Ïîÿñíåííÿ äî çàïîâíåííÿ ïàñïîðòà
Explanatory notes for completing the passport

Ðîçä³ë VI çàïîâíþºòüñÿ ò³ëüêè ó âèïàäêó ïîâåðíåííÿ òâàðèíè äî ªÑ ï³ñëÿ òðàíñïîðòóâàííÿ íà îêðåì³ òåðèòî𳿠àáî äî òðåò³õ êðà¿í â³äïîâ³äíî äî çàêîíîäàâñòâà ªÑ ó ñôåð³ çäîðîâ'ÿ òâàðèí (çàïîâíþºòüñÿ ïåðåä âèâåçåííÿì òâàðèíè ç ªÑ).
Section VI: only required where the animal re enters the Union after a movement to certain territories or a third countries in accordance with EU animal health legislation (to be completed before the animal leaves the Union).

Ðîçä³ë VII çàïîâíþºòüñÿ ò³ëüêè ïåðåä â'¿çäîì äî îêðåìèõ äåðæàâ - ÷ëåí³â ªÑ â³äïîâ³äíî äî çàêîíîäàâñòâà ªÑ ó ñôåð³ çäîðîâ'ÿ òâàðèí.
Section VII: only required before movement into certain Member States in accordance with EU animal health legislation.

Ðîçä³ëè VIII - XI çàïîâíþþòüñÿ, ÿêùî öüîãî âèìàãàþòü òåðèòî𳿠àáî òðåò³ êðà¿íè, äî ÿêèõ çä³éñíþºòüñÿ ïåðåâåçåííÿ òà ÿê³ âèçíàþòü öåé ïàñïîðò.
Section VIII to XI: may be required by territories or third countries of destination which accept the passport.

Ðîçä³ë X çàïîâíþºòüñÿ ó ðàç³, ÿêùî ïåðåâåçåííÿ òâàðèíè çä³éñíþºòüñÿ ç ã³ã³ºí³÷íèì ñåðòèô³êàòîì, ïåðåäáà÷åíèì çàêîíîäàâñòâîì ªÑ ó ñôåð³ çäîðîâ'ÿ òâàðèí.
Section X: only required where the animal is accompanied by a health certificate in accordance with EU animal health legislation.

Ðîçä³ë XII: äîäàòêîâà ³íôîðìàö³ÿ, ùî âèìàãàºòüñÿ çã³äíî ç íàö³îíàëüíèì çàêîíîäàâñòâîì.
Section XII: additional information required under national legislation.

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I. ²íôîðìàö³ÿ ïðî âëàñíèêà
DETAILS OF OWNERSHIP

1. ²ì'ÿ: __________________________________________________
Name:

Ïð³çâèùå: _______________________________________________
Surrname:

Àäðåñà: _________________________________________________
Addres:

²íäåêñ: __________________________________________________
Post-Code:

̳ñòî:___________________________________________________
City:

Êðà¿íà:__________________________________________________
Country:

Òåë.*: ___________________________________________________
Telephone number*:

ϳäïèñ: _________________________________________________
Signature:

____________
* Íå îáîâ'ÿçêîâî
* Optional

2. ²ì'ÿ: __________________________________________________
Name:

Ïð³çâèùå: _______________________________________________
Surrname:

Àäðåñà: _________________________________________________
Addres:

²íäåêñ: _________________________________________________
Post-Code:

̳ñòî:__________________________________________________
City:

Êðà¿íà:__________________________________________________
Country:

Òåë.*: __________________________________________________
Telephone number*:

ϳäïèñ: ________________________________________________
Signature:

____________
* Íå îáîâ'ÿçêîâî
* Optional

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II. ÎÏÈÑ ÒÂÀÐÈÍÈ
DESCRIPTION OF ANIMAL

ÔÎÒÎÃÐÀÔ²ß ÒÂÀÐÈÍÈ
(íå îáîâ'ÿçêîâî)


 

1. Êëè÷êà*: ______________________________________________
Name*:

2. Âèä: __________________________________________________
Species:

3. Ïîðîäà*: ______________________________________________
Breed*:

4. Ñòàòü:_________________________________________________
Sex:

5. Äàòà íàðîäæåííÿ*: _____________________________________
Date of Birth*:

6. Ìàñòü: ________________________________________________
Colour:

7. Îñîáëèâ³ àáî ÿñêðàâî âèðàæåí³ ïðèêìåòè:
Any notable or discernable features or characteristics: _____________

____________
* Çã³äíî ç ³íôîðìàö³ºþ âëàñíèêà
* As stated by owner

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III. ÌÀÐÊÓÂÀÍÍß ÒÂÀÐÈÍÈ
MARKING OF ANIMAL

1. Àëôàâ³òíî-öèôðîâèé êîä ì³êðî÷èïà (òðàíñïîíäåðà)
Transponder alphanumeric code
________________________________________________________

2. Äàòà ³ìïëàíòóâàííÿ àáî ç÷èòóâàííÿ* ì³êðî÷èïà (òðàíñïîíäåðà)
Date of application or reading* of the transponder
________________________________________________________

3. ̳ñöå ðîçòàøóâàííÿ ì³êðî÷èïà (òðàíñïîíäåðà)
Location of the transponder
________________________________________________________

4. Àëôàâ³òíî-öèôðîâèé êîä êëåéìà
Tattoo alphanumeric code
________________________________________________________

5. Äàòà íàíåñåííÿ/ç÷èòóâàííÿ êëåéìà
Date of application/date of reading of the tattoo
_____________________________ / __________________________

6. ̳ñöå ðîçòàøóâàííÿ êëåéìà
Location of the tattoo ______________________________________

Ìàðêóâàííÿ íåîáõ³äíî ïåðåâ³ðÿòè ïåðåä âíåñåííÿì áóäü-ÿêîãî íîâîãî çàïèñó äî öüîãî ïàñïîðòà.
The marking must be verified before any new entry is made on this passport.

____________
* Âèäàëèòè çàéâå
* Delete as necessary

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IV. ÂÈÄÀ×À ÏÀÑÏÎÐÒÀ
ISSUING OF THE PASSPORT

Ï. ². Á. óïîâíîâàæåíîãî ë³êàðÿ âåòåðèíàðíî¿ ìåäèöèíè:
________________________________________________________
Name of the authorised veterinarian:

Àäðåñà: _________________________________________________
Address:

²íäåêñ: _________________________________________________
Post-code:

̳ñòî: __________________________________________________
City:

Êðà¿íà: _________________________________________________
Country:

Òåë.: ___________________________________________________
Telephone number:

E-mail: _________________________________________________
E-mail address:

Äàòà âèäà÷³: ____________________________________________
Date of issuing:

Ì. Ï.
ϲÄÏÈÑ/
STAMP &
SIGNATURE


 

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V. ÙÅÏËÅÍÍß ÏÐÎÒÈ ÑÊÀÇÓ
VACCINATION AGAINST RABIES

  

ÂÈÐÎÁÍÈÊ ² ÍÀÇÂÀ ÂÀÊÖÈÍÈ
MANUFACTURER & NAME OF VACCINE

ÍÎÌÅÐ ÏÀÐÒ²¯
BATCH NUMBER

ÄÀÒÀ ÙÅÏËÅÍÍß1
VACCINATION DATE1

IJª Ç2
VALID FROM2

IJª ÄÎ3
VALID UNTIL3

ÓÏÎÂÍÎÂÀÆÅÍÈÉ Ë²ÊÀÐ ÂÅÒÅÐÈÍÀÐÍί ÌÅÄÈÖÈÍÈ
AUTHORISED VETERINARIAN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


 

 

 

VI. ÄÎÑ˲ÄÆÅÍÍß ÍÀ ÒÈÒÐ ÀÍÒÈÐÀÁ²×ÍÈÕ ÀÍÒÈÒ²Ë
RABIES ANTIBODY TITRATION TEST

  

Âåòåðèíàðíèé ë³êàð, ÿêèé ïîñòàâèâ ï³äïèñ, ï³äòâåðäæóº, ùî áà÷èâ îô³ö³éíèé äîêóìåíò, çã³äíî ç ÿêèì ðåçóëüòàòè äîñë³äæåííÿ íà òèòð àíòèðàá³÷íèõ ò³ë çðàçêà êðîâ³ çàçíà÷åíî¿ âèùå òâàðèíè, ùî â³ä³áðàíèé íà äàòó, âêàçàíó íèæ÷å, ÿêå áóëî çä³éñíåíå â ëàáîðàòîð³¿, çàòâåðäæåí³é ªÑ, ñâ³ä÷àòü ïðî òå, ùî â ðåçóëüòàò³ ùåïëåííÿ ïðîòè ñêàçó â³äáóâàºòüñÿ óòâîðåííÿ ñèðîâàòêîâèõ íåéòðàë³çóþ÷èõ àíòèò³ë, ê³ëüê³ñòü ÿêèõ äîð³âíþº àáî ïåðåâèùóº 0,5 ÌÎ/ìë.
I, the undersigned, confirm that I have seen an official record stating that the rabies antibody titration test performed at an EU-approved laboratory on a sample of blood collected on the date mentioned below from the above described animal proved a response to anti-rabies vaccination at a level of serum neutralising antibody equal to or greater than 0.5 IU/ml.

Äàòà â³äáîðó çðàçêà: ____________________________________________________
Sample collected on:

Ï. ². Á. óïîâíîâàæåíîãî ë³êàðÿ âåòåðèíàðíî¿ ìåäèöèíè:
____________________________________________________
Name of the authorised veterinarian:

Àäðåñà: _____________________________________________
Address:

Òåë.: ________________________________________________
Telephone number:

Äàòà: _______________________________________________
Date:

Ì. Ï.
ϲÄÏÈÑ/
STAMP &
SIGNATURE


 

 

 

 

ÏÎÄÀËÜØÅ ÄÎÑ˲ÄÆÅÍÍß
IN CASE OF A FURTHER TEST

  

Âåòåðèíàðíèé ë³êàð, ÿêèé ïîñòàâèâ ï³äïèñ, ï³äòâåðäæóº, ùî áà÷èâ îô³ö³éíèé äîêóìåíò, çã³äíî ç ÿêèì ðåçóëüòàòè äîñë³äæåííÿ íà òèòð àíòèðàá³÷íèõ ò³ë çðàçêà êðîâ³ çàçíà÷åíî¿ âèùå òâàðèíè, ùî â³ä³áðàíèé íà äàòó, âêàçàíó íèæ÷å, ÿêå áóëî çä³éñíåíå â ëàáîðàòîð³¿, çàòâåðäæåí³é ªÑ, ñâ³ä÷àòü ïðî òå, ùî â ðåçóëüòàò³ ùåïëåííÿ ïðîòè ñêàçó â³äáóâàºòüñÿ óòâîðåííÿ ñèðîâàòêîâèõ íåéòðàë³çóþ÷èõ àíòèò³ë, ê³ëüê³ñòü ÿêèõ äîð³âíþº àáî ïåðåâèùóº 0,5 ÌÎ/ìë.
I, the undersigned, confirm that I have seen an official record stating that the rabies antibody titration test performed at an EU-approved laboratory on a sample of blood collected on the date mentioned below from the above described animal proved a response to anti-rabies vaccination at a level of serum neutralising antibody equal to or greater than 0.5 IU/ml.

Äàòà â³äáîðó çðàçêà: __________________________________
Sample collected on:

Ï. ². Á. óïîâíîâàæåíîãî ë³êàðÿ âåòåðèíàðíî¿ ìåäèöèíè:
____________________________________________________
Name of the authorised veterinarian:

Àäðåñà: _____________________________________________
Address:

Òåë.: _______________________________________________
Telephone number:

Äàòà: _______________________________________________
Date:

Ì. Ï.
ϲÄÏÈÑ/
STAMP &
SIGNATURE


 

 

 

 

VII. ˲ÊÓÂÀÍÍß ÅÕ²ÍÎÊÎÊÎÇÓ
ANTI-ECHINOCOCCUS TREATMENT

  

ÂÈÐÎÁÍÈÊ ² ÍÀÇÂÀ ÏÐÅÏÀÐÀÒÓ

MANUFACTURER & NAME OF PRODUCT

ÄÀÒÀ1
DATE1

×ÀÑ2
TIME2

ÂÅÒÅÐÈÍÀÐ

VETERINARIAN

 

 

ÏÅ×ÀÒÊÀ ÒÀ ϲÄÏÈÑ /
STAMP & SIGNATURE

 

 

 

 

ÏÅ×ÀÒÊÀ ÒÀ ϲÄÏÈÑ /
STAMP & SIGNATURE

 

 

 

 

ÏÅ×ÀÒÊÀ ÒÀ ϲÄÏÈÑ /
STAMP & SIGNATURE

 

 

 

 

ÏÅ×ÀÒÊÀ ÒÀ ϲÄÏÈÑ /
STAMP & SIGNATURE

 

 


 

 

 

VIII. ÎÁÐÎÁÊÀ Â²Ä ²ÍØÈÕ ÏÀÐÀÇÈÒ²Â
OTHER ANTI-PARASITE TREATMENTS

  

ÂÈÐÎÁÍÈÊ ² ÍÀÇÂÀ ÏÐÅÏÀÐÀÒÓ
MANUFACTURER & NAME OF PRODUCT

ÄÀÒÀ1
DATE1

×ÀÑ2
TIME2

ÂÅÒÅÐÈÍÀÐ
VETERINARIAN

 

 

ÏÅ×ÀÒÊÀ ÒÀ ϲÄÏÈÑ /
STAMP & SIGNATURE

 

 

 

 

ÏÅ×ÀÒÊÀ ÒÀ ϲÄÏÈÑ /
STAMP & SIGNATURE

 

 

 

 

ÏÅ×ÀÒÊÀ ÒÀ ϲÄÏÈÑ /
STAMP & SIGNATURE

 

 

 

 

ÏÅ×ÀÒÊÀ ÒÀ ϲÄÏÈÑ /
STAMP & SIGNATURE

 

 

 

 

ÏÅ×ÀÒÊÀ ÒÀ ϲÄÏÈÑ /
STAMP & SIGNATURE

 

 

 

 

ÏÅ×ÀÒÊÀ ÒÀ ϲÄÏÈÑ /
STAMP & SIGNATURE

 

 


 

 

 

IX. ²Íز ÙÅÏËÅÍÍß
OTHER VACCINATION

  

ÂÈÐÎÁÍÈÊ ² ÍÀÇÂÀ ÂÀÊÖÈÍÈ
MANUFACTURER & NAME OF VACCINE

ÍÎÌÅÐ ÏÀÐÒ²¯
BATCH NUMBER

ÄÀÒÀ1
DATE1

×ÀÑ2
TIME2

ÂÅÒÅÐÈÍÀÐ
VETERINARIAN

 

 

ÏÅ×ÀÒÊÀ ÒÀ ϲÄÏÈÑ /
STAMP & SIGNATURE

 

 

 

 

ÏÅ×ÀÒÊÀ ÒÀ ϲÄÏÈÑ /
STAMP & SIGNATURE

 

 

 

 

ÏÅ×ÀÒÊÀ ÒÀ ϲÄÏÈÑ /
STAMP & SIGNATURE

 

 

 

 

ÏÅ×ÀÒÊÀ ÒÀ ϲÄÏÈÑ /
STAMP & SIGNATURE

 

 

 

 

ÏÅ×ÀÒÊÀ ÒÀ ϲÄÏÈÑ /
STAMP & SIGNATURE

 

 


 

 

 

X. Ê˲ÍÈ×ÍÈÉ ÎÃËßÄ
CLINICAL EXAMINATION

  

ϲÄÒÂÅÐÄÆÅÍÍß
DECLARATION

ÄÀÒÀ
DATE

ÂÅÒÅÐÈÍÀÐ
VETERINARIAN

Òâàðèíà íå ìຠîçíàê õâîðîá ³ º ïðèäàòíîþ äëÿ çàïëàíîâàíîãî ïåðåâåçåííÿ
The animal shows no signs of diseases and is fit to be transported for the intended journey

 

ÏÅ×ÀÒÊÀ ÒÀ ϲÄÏÈÑ /
STAMP & SIGNATURE

Òâàðèíà íå ìຠîçíàê õâîðîá ³ º ïðèäàòíîþ äëÿ çàïëàíîâàíîãî ïåðåâåçåííÿ
The animal shows no signs of diseases and is fit to be transported for the intended journey

 

ÏÅ×ÀÒÊÀ ÒÀ ϲÄÏÈÑ /
STAMP & SIGNA TURE

Òâàðèíà íå ìຠîçíàê õâîðîá ³ º ïðèäàòíîþ äëÿ çàïëàíîâàíîãî ïåðåâåçåííÿ
The animal shows no signs of diseases and is fit to be transported for the intended journey

 

ÏÅ×ÀÒÊÀ ÒÀ ϲÄÏÈÑ /
STAMP & SIGNA TURE

Òâàðèíà íå ìຠîçíàê õâîðîá ³ º ïðèäàòíîþ äëÿ çàïëàíîâàíîãî ïåðåâåçåííÿ
The animal shows no signs of diseases and is fit to be transported for the intended journey

 

ÏÅ×ÀÒÊÀ ÒÀ ϲÄÏÈÑ /
STAMP & SIGNA TURE


 

 

 

XI. ÎÔ²Ö²ÉÍÅ ÎÔÎÐÌËÅÍÍß
LEGALISATION

  

ÎÐÃÀÍ, ÙÎ ÏÐÎÂÎÄÈÒÜ ÎÔ²Ö²ÉÍÅ ÎÔÎÐÌËÅÍÍß
LEGALISATION BODY

ÄÀÒÀ
DATE

ÏÅ×ÀÒÊÀ ÒÀ ϲÄÏÈÑ /
STAMP & SIGNATURE

 

 

ÏÅ×ÀÒÊÀ ÒÀ ϲÄÏÈÑ /
STAMP & SIGNATURE

 

 

ÏÅ×ÀÒÊÀ ÒÀ ϲÄÏÈÑ /
STAMP & SIGNATURE

 

 

ÏÅ×ÀÒÊÀ ÒÀ ϲÄÏÈÑ /
STAMP & SIGNATURE

 

 

ÏÅ×ÀÒÊÀ ÒÀ ϲÄÏÈÑ /
STAMP & SIGNATURE

 

 

ÏÅ×ÀÒÊÀ ÒÀ ϲÄÏÈÑ /
STAMP & SIGNATURE


 

 

 

XII. ²ÍØÅ
OTHERS

  

 

 

 

 

 

 

 

 

 

 


 

 

____________

 


Íàçàä


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