OPRINDELSES- OG SUNDHEDSCERTIFIKAT / CERTIFICATE OF ORIGIN AND HEALTH

Transkript

1 OPRINDELSES- OG SUNDHEDSCERTIFIKAT / CERTIFICATE OF ORIGIN AND HEALTH for eksport af heste fra Danmark til Pakistan for export of horses from Denmark to Pakistan Certifikatnummer (1) :/ Eksportland:/ Exporting country: DANMARK/ DENMARK Kompetent ministerium:/ Competent ministry:/ MINISTERIET FOR FØDEVARER, LANDBRUG OG FISKERI/ MINISTRY OF FOOD, AGRICULTURE AND FISHERIES Kompetent central myndighed:/ Competent central authority: FØDEVARESTYRELSEN/ THE DANISH VETERINARY AND FOOD ADMINISTRATION Kompetent udstedende myndighed:/ Competent issuing authority: I DYRENES OPRINDELSE / ORIGIN OF THE ANIMALS 1. Afsenders navn og adresse:/ Name and address of consignor: 2. Oprindelsesbedriftens navn, adresse og land:/ Name, address and country of holding of origin: 3. Adresse, hvor dyrene er undersøgt:/ Address of the premises where the animals were examined: La 23, Page 1 of 6 Pakistan

2 II BESKRIVELSE AF FORSENDELSEN / DESCRIPTION OF THE CONSIGNMENT 1. Afsendelsesdato:/ Date of departure: 2. Samlet antal dyr:/ Total number of animals: 3. Identifikation af dyrene:/ Identification of the animals: Navn:/ Name: Race:/ Breed: Køn:/ Sex: Alder:/ Age: Farve:/ Colour: Om nødvendigt fortsættes der på et vedlagt skema, der er underskrevet og stemplet af embedsdyrlægen eller en godkendt dyrlæge/ Continue if necessary on an attached schedule signed and stamped by the official or approved veterinarian. Et fuldt signalement vedlægges jvf. Identifikationsdokumentet på side 5-6./ A full description using the sketch on pages 5-6 is completed. III INFORMATION OM BESTEMMELSESSTEDET / INFORMATION ABOUT DESTINATION 1. Bestemmelsesland:/ Pakistan/ Country of destination: Pakistan 2. Modtagerens navn og adresse:/ Name and address of consignee: 3. Transportmiddel:/ Means of transport: (Angiv antal vogne, lastbiler, fly-nummer, navn på skib/ Specify the number of wagons, trucks, flight-number, name of ship) La 23, Page 2 of 6 Pakistan

3 IV SUNDHEDSOPLYSNINGER / HEALTH INFORMATION Undertegnede embedsdyrlæge attesterer herved vedrørende ovennævnte dyr, at:/ I, the undersigned veterinary officer hereby certify concerning the animals described above that: 1. Dyrene er i dag undersøgt og fundet fri for kliniske tegn på infektiøse og smitsomme sygdomme inkl. afrikansk hestepest, equin encephalomyelitis, infektiøs anæmi, dourine, snive, contagiøs equin metritis og epizootisk lymphangitis./ The animals are today examined and found to be free from clinical signs of infectious or contagious diseases including African horse sickness, equine encephalomyelitis, equine infectious anaemia, dourine, glanders, contagious equine metritis and epizootic lymphangitis. 2. Dyrene har været isoleret under dyrlægetilsyn på en bedrift godkendt af Fødevarestyrelsen fra dato for blodprøveudtagning jf. nedenstående afsnit IV.3 indtil afsendelsesdatoen/ The animals have been isolated under veterinary supervision on a premise approved by the Danish Veterinary and Food Administration from the date of sampling at paragraph IV.3 below until the date of departure. 3. Den (dato), inden for 10 dage før eksporten, er blodprøver taget fra omtalte dyr og sendt til følgende anerkendte laboratorium, hvor de er testet med negativt resultat i hvert tilfælde for følgende: (i) immundiffusion (Coggins) test for infektiøs anæmi. (ii) mikroskopisk undersøgelse af blod film for blod parasitter./ On (date), being within 10 days of export, blood samples were taken from the said animal and sent to the recognized Veterinary Laboratory where they were subjected to the following tests with negative results in each case: (i) immundiffusion (Coggins) test for equine infectious anaemia. (ii) microscopic examination of a blood film for blood parasites. 4. Oprindelsesbesætningen er fri for officielle restriktioner vedr. tilstedeværelse eller mistanke om enhver anmeldepligtig sygdom, som heste er modtagelige for./ The premises of origin is free from official restrictions due to the occurrence or suspicion of any notifiable disease to which equine animals are susceptible. 5. Danmark er fri for afrikansk hestepest, dourine og snive i henhold til OIE s retningslinjer./ Denmark is free from African horse sickness, dourine and glanders in accordance with the guidelines of OIE. V SUPPLERENDE OPLYSNINGER / ADDITIONAL INFORMATION 1. Certifikat er gyldigt i ti (10) dage fra tidspunktet for sundhedsundersøgelsen./ This certificate remains valid for ten (10) days following the date of the health inspection. La 23, Page 3 of 6 Pakistan

4 VI ATTESTERING / CERTIFICATION Udfærdiget i:/ Done at: Dato:/ Date: Officielt stempel (2) :/ Official stamp (2) : Embedsdyrlægens underskrift (2) / Signature of the veterinary officer (2) 1. Navn med blokbogstaver:/ Name in block letters: (1) Certfikatnummeret skal anføres på alle certifikatets sider / The certificate number must be applied on all the pages of the certificate. (2) Certifikatet skal stemples og underskrives i en anden farve end det trykte / The certificate must be stamped and signed in colour different to the printing. La 23, Page 4 of 6 Pakistan

5 IDENTIFIKATIONS-DOKUMENT IDENTIFICATION-CERTIFICATE White markings to be shown in red. Mark the diagram with the exact position of any distinguishing marks, scars or brands. Brands to be shown in position. Scars to be marked and indicated an arrow ( ). Whorls should be marked with a cross (X). Stars or blazes on the face and any other marking to be drawn in on the diagrams showing position and shape as accurately as possible. Please ensure that the diagram and the written description agree. If no markings, this fact should be stated. La 23, Page 5 of 6 Pakistan

6 Navn:/ Name: Race:/ Breed: Køn:/ Sex: Farve:/ Colour: Beskrivelse af hesten foretaget af:/ Description taken with horse by: Hoved:/ Head: (Region/District) Venstre forparti:/ Foreleg L.: Højre forparti:/ Foreleg R.: Venstre bagparti:/ Hindleg L.: Højre bagparti:/ Hindleg R.: Krop:/ Body: Mærker:/ Markings: Dato :/ Date: Embedsdyrlægens underskrift og stempel/ Signature and stamp of official veterinarian Navn med blokbogstaver:/ Name in block letters: La 23, Page 6 of 6 Pakistan