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EU
서식 9.6 ModelVeterinaryCertificateofHealth(Resale/Adoption)
서식 9.4 부속서(EUANIMALHEALTHCERTIFICATE)
ANNEXIV
Logo/Letterhead
ModelVeterinaryCertificateofHealth
Part1
ofIssuing
[CountriesotherthantheUSA] [CountriesnotRecognizedasRabiesFree]
VeterinaryClinic
Modelanimalhealthcertificateforthenon-commercialmovementintoaMemberState
[Resale/AdoptionEndUse]
fromaterritoryorthirdcountryofdogs,catsorferrets
[COUNTRYOF ORIGIN]
VeterinaryCertificateofHealth
(1)
inaccordancewithArticle5(1)and(2)ofRegulation(EU)Noxxx/2013
Healthinformation
CertificatereferenceNo.
Import permit No.
COUNTRY:
VeterinarycertificatetoEU
I.1. Consignor
I.2. CertificatereferenceNo
I.2.a.
Name
Address
I.3. Centralcompetentauthority
6. I have examined the dog(s) identified above during the forty-eight (48) hour period immediately preceding
thedate of export toCanada and found it/them tobe healthy, fit to betransported, and free of anyclinical or
Tel.
I.4. Localcompetentauthority
consignment
epidemiological evidence of contagious or infectious disease and, as far as can be determined, exposure
thereto.
I.6.
I.5. Consignee
Name
DATEOF EXAMINATION
Address
MICROCHIPNUMBER
AGE ATTIMEOF EXAMINATION
(dd/mm/yyyy)
Postalcode
dispatched
Tel.
I.7. Countryof
ISOcode
I.8.
I.9.
I.10
origin
of
Details
I.11.
I.12.
7. The dog(s) identified abovewas/were at least sixteen(16) weeksof ageat the time of the examinationprior
:
I
toexporttoCanada.
Part
8. The dog(s) identified above has/have been permanently identified with an ISO-approved electronic
microchip.
I.13.
I.14.
9. The dog(s) identified above is/arefit to be transported without undue suffering by reason of infirmity, illness,
I.15.
I.16.
injury,fatigueorothercauseduringtheexpectedjourney.
10. If travelling by air, the dog(s) identified above will be transported in accordance with the container
I.17.
requirements specified in the International Air Transport Association (IATA) Live Animal Regulations,
approvedbytheWorldOrganisationforAnimalHealth(OIE).
I.18. Descriptionofcommodity
I.19. Commoditycode(HScode)
010619
11. The dog(s) identified above has/have not come into contact with any other any other animals of like or
I.20. Quantity
susceptible species, unless those animals had the same health guarantees, during the entire required
periodsof residencyandtransportationtotheport of export.
I.21.
I.22.
I.23.
I.24.
This certificate must be issued within the forty-eight (48) hours immediately preceding export and remains valid
forseven(7)daysfromthedateofissuance.
I.25. Commoditiescertifiedfor:
Pets
Licensedveterinarian (required)
I.26.
Name(incapitals):
Qualificationandtitle:
I.27.
ClinicName:
Phone:
ClinicAddress:
Email:
I.28. Identificationofthecommodities
Species
Sex
Identification
Colour
Breed
Dateofapplicationand/orreading
Identificationnumber
Dateofbirth
(Scientificname)
system
ofthetransponderortattoo
[dd/mm/yyyy]
[dd/mm/yyyy]
Date:
Signature:
EN
EN
1
PAGE3OF____
62●
63
국가별검역관련서식모음집
국가별서식모음_국가별서식●
EU
서식 9.6 ModelVeterinaryCertificateofHealth(Resale/Adoption)
서식 9.4 부속서(EUANIMALHEALTHCERTIFICATE)
ANNEXIV
Logo/Letterhead
ModelVeterinaryCertificateofHealth
Part1
ofIssuing
[CountriesotherthantheUSA] [CountriesnotRecognizedasRabiesFree]
VeterinaryClinic
Modelanimalhealthcertificateforthenon-commercialmovementintoaMemberState
[Resale/AdoptionEndUse]
fromaterritoryorthirdcountryofdogs,catsorferrets
[COUNTRYOF ORIGIN]
VeterinaryCertificateofHealth
(1)
inaccordancewithArticle5(1)and(2)ofRegulation(EU)Noxxx/2013
Healthinformation
CertificatereferenceNo.
Import permit No.
COUNTRY:
VeterinarycertificatetoEU
I.1. Consignor
I.2. CertificatereferenceNo
I.2.a.
Name
Address
I.3. Centralcompetentauthority
6. I have examined the dog(s) identified above during the forty-eight (48) hour period immediately preceding
thedate of export toCanada and found it/them tobe healthy, fit to betransported, and free of anyclinical or
Tel.
I.4. Localcompetentauthority
consignment
epidemiological evidence of contagious or infectious disease and, as far as can be determined, exposure
thereto.
I.6.
I.5. Consignee
Name
DATEOF EXAMINATION
Address
MICROCHIPNUMBER
AGE ATTIMEOF EXAMINATION
(dd/mm/yyyy)
Postalcode
dispatched
Tel.
I.7. Countryof
ISOcode
I.8.
I.9.
I.10
origin
of
Details
I.11.
I.12.
7. The dog(s) identified abovewas/were at least sixteen(16) weeksof ageat the time of the examinationprior
:
I
toexporttoCanada.
Part
8. The dog(s) identified above has/have been permanently identified with an ISO-approved electronic
microchip.
I.13.
I.14.
9. The dog(s) identified above is/arefit to be transported without undue suffering by reason of infirmity, illness,
I.15.
I.16.
injury,fatigueorothercauseduringtheexpectedjourney.
10. If travelling by air, the dog(s) identified above will be transported in accordance with the container
I.17.
requirements specified in the International Air Transport Association (IATA) Live Animal Regulations,
approvedbytheWorldOrganisationforAnimalHealth(OIE).
I.18. Descriptionofcommodity
I.19. Commoditycode(HScode)
010619
11. The dog(s) identified above has/have not come into contact with any other any other animals of like or
I.20. Quantity
susceptible species, unless those animals had the same health guarantees, during the entire required
periodsof residencyandtransportationtotheport of export.
I.21.
I.22.
I.23.
I.24.
This certificate must be issued within the forty-eight (48) hours immediately preceding export and remains valid
forseven(7)daysfromthedateofissuance.
I.25. Commoditiescertifiedfor:
Pets
Licensedveterinarian (required)
I.26.
Name(incapitals):
Qualificationandtitle:
I.27.
ClinicName:
Phone:
ClinicAddress:
Email:
I.28. Identificationofthecommodities
Species
Sex
Identification
Colour
Breed
Dateofapplicationand/orreading
Identificationnumber
Dateofbirth
(Scientificname)
system
ofthetransponderortattoo
[dd/mm/yyyy]
[dd/mm/yyyy]
Date:
Signature:
EN
EN
1
PAGE3OF____
62●
63
국가별검역관련서식모음집
국가별서식모음_국가별서식●
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