Part I: Details of consignment presented

EUROPEAN COMMUNITY

Intra trade certificate

I.1. Consignor

Name

Address

Postal code

I.2. Certificate reference number

I.2.a. Local reference number:

I.3. Central Competent Authority

I.4. Local Competent Authority

I.5. Consignee

Name

Address

Postal code

I.6. No(s) of related original certificates

No(s) of accompanying documents

I.7.

I.8. Country of origin

ISO code

I.9.

I.10. Country of destination

ISO code

I.11.

I.12. Place of origin/Place of harvest

Holding

Name

Approval number

Address

Postal code

I.13. Place of destination

Holding

Establishment

Approved body

Semen centre

Embryo team

Other

Name

Approval number

Address

Postal code

I.14. Place of loading

Postal code

I.15. Date and time of departure

I.16. Means of transport

Aeroplane

Ship

Railway wagon

Road vehicle

Other

Identification:

I.17. Transporter

Name

Approval number

Address

Postal code

Member State

I.18. Animal species/product

I.19. Commodity code (CN code)

I.20. Number/quantity

I.21.

I.22. Number of packages

I.23. Identification of container/seal number

I.24.

I.25. Animals certified as/products certified for

Breeding

Fattening

Artificial reproduction

Slaughter

Approved body

I.26. Transit through third country

Third country

ISO code

Exit point

Code

Entry point

BIP unit no.:

I.27. Transit through Member States

Member State

ISO code

Member State

ISO code

Member State

ISO code

I.28. Export

Third country

ISO code

Exit point

Code

I.29. Estimated journey time

I.30. Route plan

Yes

No

I.31. Identification of the animals

Species (Scientific name)

Identification system

Identification number

Sex

Age

Quantity

Part II: Certification

EUROPEAN COMMUNITY

92/65 EI Animals from holdings (ungulates, birds, lagomorphs, dogs, cats and ferrets)

II. Health information

II.a. Certificate reference number

II.b. Local reference number

I, the undersigned official veterinarian (1) /veterinarian responsible for the establishment of origin and approved by the competent authority certify that:

II.1. At the time of inspection the above animals were fit to be transported on the intended journey in accordance with the provisions of Council Regulation (EC) No 1/2005.

II.2. The conditions of Article 4 of Council Directive 92/65/EEC are fulfilled.

II.3.1. Ruminant/suidae (1) other than that covered by Directive 64/432/EEC: (1)

(a) belongs to the species;

(b) at the time of examination, does not show any clinical sign of any disease to which it is susceptible;

(c) comes from an officially tuberculosis-free/officially brucellosis-free or brucellosis-free herd/a holding not subject to swine-fever restrictions (1) or from a holding where it was subjected with negative results to the tests laid down in Article 6(2)(b) of Directive 92/65/EEC.

II.3.2. Birds other than those referred to in Directive 90/539/EEC (1)

satisfy the requirements of Article 7 of Directive 92/65/EEC and that the animals showed no clinical sign of disease on examination.

II.3.3. lagomorphs (1)

satisfy the requirements of Article 9 of Directive 92/65/EEC and that the animals showed no clinical sign of disease on examination.

II.3.4. Dogs, cats and ferrets (1)

either [(a) satisfy the requirement laid down in Articles 5 and 16 of Regulation (EC) No 998/2003 of the European Parliament and of the Council of 26 May 2003 on the animal health requirements applicable to the non-commercial movement of pet animals and amending Council Directive 92/65/EEC, and]

or [(a) satisfy the requirement laid down in Articles 6 and 16 of Regulation (EC) No 998/2003 when trade is to Ireland, the United Kingdom or Sweden, and]

(b) underwent a clinical examination, within 24 hours of dispatch, by a veterinarian authorised by the competent authority, and this examination showed the animals to be in good health and fit to travel.

II.4. The additional guarantees regarding diseases listed in Annex B (2) of Directive 92/65/EEC are as follows: (1)

Disease

Decision

Disease

Decision

Disease

Decision

Notes

Part I:

Box reference I.6: No(s) of accompanying documents: CITES, if applicable.

Box reference I.19: use the appropriate HS codes: 01.06.19, 01.06.31, 01.06.32, 01.06.39.

Box reference I.31: Identification: individual identification must be used wherever possible but in the case of small animals, batch identification may be used.

Age and Sex: only to be completed in case of live animals, if appropriate.

Part II:

(1) Delete as necessary.

(2) As requested by a Member State benefiting from additional guarantees under Community legislation.

The colour of the stamp and signature must be different from that of the other particulars in the certificate.

Official/approved veterinarian

Name (in Capital):

Qualification and title

Local Veterinary Unit:

No of the related LVU:

Date:

Signature:

Stamp

Part I: Details of consignment presented

EUROPEAN COMMUNITY

Intra trade certificate

I.1. Consignor

Name

Address

Postal code

I.2. Certificate reference number

I.2.a. Local reference number:

I.3. Central Competent Authority

I.4. Local Competent Authority

I.5. Consignee

Name

Address

Postal code

I.6.

I.7.

I.8. Country of origin

ISO code

I.9.

I.10. Country of destination

ISO code

I.11.

I.12. Place of origin/Place of harvest

Holding

Other

Name

Approval number

Address

Postal code

I.13. Place of destination

Holding

Other

Name

Approval number

Address

Postal code

I.14. Place of loading

Postal code

I.15. Date and time of departure

I.16. Means of transport

Aeroplane

Ship

Railway wagon

Road vehicle

Other

Identification:

I.17.

I.18. Animal species/product

I.19. Commodity code (CN code)

01.06.90

I.20. Number/quantity

I.21.

I.22. Number of packages

I.23. Identification of container/seal number

I.24.

I.25. Animals certified as/products certified for

Breeding

Transhumance

I.26. Transit through third country

Third country

ISO code

Exit point

Code

Entry point

BIP unit no.:

I.27. Transit through Member States

Member State

ISO code

Member State

ISO code

Member State

ISO code

I.28. Export

Third country

ISO code

Exit point

Code

I.29.

I.30.

I.31. Identification of the animals

Species (Scientific name)

Quantity

Batch number

Part II: Certification

EUROPEAN COMMUNITY

92/65 EII bees/queen bees (Apis mellifera) and bumble bees (Bombus spp.)

II. Health information

II.a. Certificate reference number

II.b. Local reference number

I, the undersigned certify that:

II.1. the bees/bumble bees:

(a) come from an area which is not subject of the prohibition order associated with an occurrence of American foulbrood. (The period of prohibition has been continued for at least 30 days following the last recorded case and the date of which all hives within a radius of three kilometres has been checked by the competent authority and all infected hives burned or treated and inspected to the satisfaction of the said competent authority.);

(b) come from an area of at least 100 km radius which is not the subject of any restrictions associated with the suspicion or confirmed occurrence of the small hive beetle (Aethina tumida) or the Tropilaelaps mite (Tropilaelaps spp.), and where these infestations are absent;

(c) as well as their packaging have undergone a visual examination to detect the occurrence of the small hive beetle (Aethina tumida) or their eggs and larvae, or other infestations, in particular Tropilaelaps spp., affecting bees.

II.2. the additional guarantees regarding diseases listed in Annex B (1) of Directive 92/65/EEC are as follows (2):

Disease

Decision

Disease

Decision

Disease

Decision

Notes

Part I:

Box reference I.31.: Species: introduce Apis mellifera or Bombus spp.

Quantity: provide the number of colonies.

Batch number: provide the number of seals where applicable.

Part II:

(1) As requested by a Member State benefiting from additional guarantees under Community legislation.

(2) Delete as necessary.

The colour of the stamp and signature must be different from that of the other particulars in the certificate.

Approved veterinarian or approved official

Name (in Capital):

Qualification and title

Local Veterinary Unit:

No of the related LVU:

Date:

Signature:

Stamp

Part I: Details of consignment presented

EUROPEAN COMMUNITY

Intra trade certificate

I.1. Consignor

Name

Address

Postal code

I.2. Certificate reference number

I.2.a. Local reference number:

I.3. Central Competent Authority

I.4. Local Competent Authority

I.5. Consignee

Name

Address

Postal code

I.6. No(s) of related original certificates

No(s) of accompanying documents

I.7.

I.8. Country of origin

ISO code

I.9.

I.10. Country of destination

ISO code

I.11.

I.12. Place of origin/Place of harvest

Semen centre

Embryo team

Approved body

Name

Approval number

Address

Postal code

I.13. Place of destination

Holding

Establishment

Approved body

Semen centre

Embryo team

Other

Name

Approval number

Address

Postal code

I.14. Place of loading

Postal code

I.15. Date and time of departure

I.16. Means of transport

Aeroplane

Ship

Railway wagon

Road vehicle

Other

Identification:

I.17. Transporter

Name

Approval number

Address

Postal code

Member State

I.18. Animal species/product

I.19. Commodity code (CN code)

I.20. Number/quantity

I.21.

I.22. Number of packages

I.23. Identification of container/seal number

I.24.

I.25. Animals certified as/products certified for

Breeding

Fattening

Artificial reproduction

Slaughter

Approved body

I.26. Transit through third country

Third country

ISO code

Exit point

Code

Entry point

BIP unit no.:

I.27. Transit through Member States

Member State

ISO code

Member State

ISO code

Member State

ISO code

I.28. Export

Third country

ISO code

Exit point

Code

I.29. Estimated journey time

I.30. Route plan

Yes

No

I.31. Identification of the animals

Species (Scientific name)

Identification system

Identification number

Sex

Age

Quantity

Part II: Certification

EUROPEAN COMMUNITY

92/65 EIII Animals, semen, embryos and ova from approved bodies, institutes or centres

II. Health information

II.a. Certificate reference number

II.b. Local reference number

I, the undersigned veterinarian responsible for the establishment of origin and approved by the competent authority certify that:

II.1. The body, institute or centre of origin is approved according to Annex C of Directive 92/65/EEC for the purpose of trading the animals, semen, embryos or ova described above.

II.2. The animals/donor animals described in this certificate have been examined today and found to be healthy and free of clinical signs of infectious disease including those described in Annex A of Directive 92/65/EEC and are not subject to any official restrictions and have remained on this body, institute or centre either since birth or for the following period of time (months or years).

II.3. At the time of inspection the above animals were fit to be transported on the intended journey in accordance with the provisions of Council Regulation (EC) No 1/2005 and to IATA requirements and/or CITES guidelines for transport where applicable.

II.4. The additional guarantees regarding diseases listed in Annex B (1) of Directive 92/65/EEC are as follows (2):

Disease

Decision

Disease

Decision

Disease

Decision

II.5. Birds conform to Decision 2006/474/EEC were vaccinated against Avian Influenza on (date), vaccine (name).

Notes

Part I:

Box reference I.6: No(s) of accompanying documents: CITES, if applicable.

Box reference I.19: use the appropriate HS codes: 01.06.31, 01.06.32, 01.06.39, 01.06.11, 01.06.19, 05.11.99.90.

Box reference I.31: Identification: individual identification must be used wherever possible but in the case of small animals, batch identification may be used.

Age and Sex: only to be completed in case of live animals, if appropriate.

Part II:

(1) As requested by a Member State benefiting from additional guarantees under Community legislation.

(2) Delete as necessary.

The colour of the stamp and signature must be different from that of the other particulars in the certificate.

Approved veterinarian

Name (in Capital):

Qualification and title

Local Veterinary Unit:

No of the related LVU:

Date:

Signature:

Stamp’