PART I |
1.Name of issuing breed society or competent authority(provide contact details and, where available, a reference to the website) |
2.Name of breeding book | 3.Name of breed |
4.Name and commercial name of animal and code of country of birth | 5.1.Individual identification number |
6.Breeding book number | 5.2.Unique Life Number | ☐☐☐-☐☐☐-☐☐☐ ☐☐☐ ☐☐☐ |
7.Identification of animal |
7.1.Transponder codeReading system (if not ISO 11784)Bar-Code | ☐☐☐ ☐☐☐ ☐☐☐ ☐☐☐ ☐☐☐ |
7.2.Alternative method for identity verification |
8.Date of birth of animal(use format dd/mm/yyyy) | 9.Country of birth of animal |
10.Name, address and e-mail address of breeder |
11.Pedigree |
11.1.SireBreeding book number and section | 11.1.1.Paternal GrandsireBreeding book number and section | 11.1.1.1.Paternal Grand-GrandsireBreeding book number and section | | |
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11.1.1.2.Paternal Grand-GranddamBreeding book number and section | |
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11.1.2.Paternal GranddamBreeding book number and section | 11.1.2.1.Paternal Grand-GrandsireBreeding book number and section | |
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11.1.2.2.Paternal Grand-GranddamBreeding book number and section | |
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11.2.DamBreeding book number and section | 11.2.1.Maternal GrandsireBreeding book number and section | 11.2.1.1.Maternal Grand-GrandsireBreeding book number and section | |
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11.2.1.2.Maternal Grand-GranddamBreeding book number and section | |
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11.2.2.Maternal GranddamBreeding book number and section | 11.2.2.1.Maternal Grand-GrandsireBreeding book number and section | |
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11.2.2.2.Maternal Grand-GranddamBreeding book number and section | |
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12.1.Done at(insert place of issue) | 12.2.Done on(insert date of issue in format dd/mm/yyyy) | |
12.3.Name and capacity of the signatory(insert in capital letters name and capacity of the individual authorised by the issuing breed society or competent authority to sign this part of the zootechnical certificate) | 12.4.Signature |