Zootechnical certificate, in accordance with Regulation (EU) 2016/1012, for trade in embryos of purebred breeding animals of the following species:- (a)bovine species (Bos taurus, Bos indicus, Bubalus bubalis)
- (b)porcine species (Sus scrofa)
- (c)ovine species (Ovis aries)
- (d)caprine species (Capra hircus)
- (e)equine species (Equus caballus and Equus asinus)
All EU official languages of the zootechnical certificates, including footnotes and notes, are available in EUR-Lex | (a logo of the issuing breed society, competent authority or embryo collection or production team may be included) |
Certificate number |
Name of issuing breed society/competent authority/embryo collection or production team (provide contact details and, where available, a reference to the website)/reference to zootechnical certificate(s) of donor animal(s) |
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Part A.Information on the donor female purebred breeding animal |
1.Name of issuing breed society/competent authority (provide contact details and, where available, a reference to the website) |
2.Name of breeding book | 3.Name of breed of donor female |
4.Class within the main section of the breeding book where donor female is entered |
5.Breeding book number of donor female | 6.Individual identification number for donor female of the equine species□□□-□□□-□□□□□□□□□ |
7.Identification of donor female7.1.System7.2.Individual identification number7.3.Animal health identification number7.4.Name | 8.Identity verification8.1.Method8.2.Result |
9.Date (use format dd.mm.yyyy or ISO 8601) and country of birth of donor female |
10.Name, address and email address of breeder |
11.Name, address and email address of owner |
12.The pedigree of donor female |
12.1.SireBreeding book number and sectionIndividual identification numberAnimal health identification numberName | 12.1.1.Paternal GrandsireBreeding book number and sectionIndividual identification numberAnimal health identification numberName |
12.1.2.Paternal GranddamBreeding book number and sectionIndividual identification numberAnimal health identification numberName |
12.2.DamBreeding book number and sectionIndividual identification numberAnimal health identification numberName | 12.2.1.Maternal GrandsireBreeding book number and sectionIndividual identification numberAnimal health identification numberName |
12.2.2.Maternal GranddamBreeding book number and sectionIndividual identification numberAnimal health identification numberName |
13.Additional information13.1.Results of performance testing of donor female13.2.Up-to-date results of the genetic evaluation carried out last on …(insert date in format dd.mm.yyyy or ISO 8601)13.3.Genetic defects and genetic peculiarities of donor female in relation to the breeding programme13.4.Other relevant information on donor female13.5.Other relevant information, including results of performance testing or genetic evaluation, on parents and grandparents, if not indicated in point 12 |
14.Validation |
14.1.Done at: … | 14.2.on: … |
(insert place of issue) | (insert date of issue) |
14.3.Name and capacity of the signatory: … |
(insert in capital letters name and capacity of the individual signing the certificate) |
14.4.Signature: … |
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Part B.Information on the donor male purebred breeding animal |
1.Name of issuing breed society (provide contact details and, where available, a reference to the website) |
2.Name of breeding book | 3.Name of breed of donor male |
4.Class within the main section of the breeding book where donor male is entered |
5.Breeding book number of donor male | 6.Individual identification number for donor male of the equine species□□□-□□□-□□□□□□□□□ |
7.Identification of donor male7.1.System7.2.Individual identification number7.3.Animal health identification number7.4.Name | 8.Identity verification8.1.Method8.2.Result |
9.Date (use format dd.mm.yyyy or ISO 8601) and country of birth of donor male |
10.Name, address and email address of breeder |
11.Name, address and email address of owner |
12.The pedigree of donor male |
12.1.SireBreeding book number and sectionIndividual identification numberAnimal health identification numberName | 12.1.1.Paternal GrandsireBreeding book number and sectionIndividual identification numberAnimal health identification numberName |
12.1.2.Paternal GranddamBreeding book number and sectionIndividual identification numberAnimal health identification numberName |
12.2.DamBreeding book number and sectionIndividual identification numberAnimal health identification numberName | 12.2.1.Maternal GrandsireBreeding book number and sectionIndividual identification numberAnimal health identification numberName |
12.2.2.Maternal GranddamBreeding book number and sectionIndividual identification numberAnimal health identification numberName |
13.Additional information13.1.Results of performance testing of donor male13.2.Up-to-date results of the genetic evaluation carried out last on …(insert date in format dd.mm.yyyyor ISO 8601)13.3.Genetic defects and genetic peculiarities of donor male in relation to the breeding programme13.4.Other relevant information on donor male13.5.Other relevant information, including results of performance testing or genetic evaluation, on parents and grandparents, if not indicated in point 12 |
14.Validation |
14.1.Done at : … | 14.2.on: … |
(insert place of issue) | (insert date of issue) |
14.3.Name and capacity of the signatory: … |
(insert in capital letters name and capacity of the individual signing the certificate) |
14.4.Signature: … |
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Part C.Information on embryos |
1.Identification of donor female1.1.Individual identification number1.2.Animal health identification number1.3.Individual identification number for donor female of the equine species□□□-□□□-□□□□□□□□□1.4.Reference to zootechnical certificate of donor female |
2.Identification of donor male(s)2.1.Individual identification number(s)2.2.Animal health identification number(s)2.3.Individual identification number for donor male(s) of the equine species□□□-□□□-□□□□□□□□□2.4.Reference(s) to zootechnical certificate(s) of2.4.1.donor male(s)2.4.2.semen |
3.Identification of embryos |
Colour of straws or other packages | Code on straws or other packages | Number of straws or other packages | Number of embryos | Place of collection or production | Date of collection or production(dd.mm.yyyyor ISO 8601) | Others |
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4.Embryo collection or production team of dispatch4.1.Name4.2.Address4.3.Approval number |
5.Destination (insert name and address) |
Part D.Information on surrogate recipient of embryo(s) |
6.Individual identification number of surrogate recipient |
7.Validation |
7.1.Done at : … | 7.2.on: … |
(insert place of issue) | (insert date of issue) |
7.3.Name and capacity of the signatory: … |
(insert in capital letters name and capacity of the individual signing the certificate) |
7.4.Signature: … |