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. Region of origin

Code

I.10. Country of destination

ISO code

I.11. Region of destination

Code

I.12. Place of origin

Holding

Establishment

Name

Approval number

Address

Postal code

I.13. Place of destination

Holding

Establishment

Approved body

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)

04.07

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

Approved body

Other

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)

Category

Identification

Age

Number of packages

Quantity

Part II: Certification

EUROPEAN COMMUNITY

Hatching eggs

II.1. Animal health attestation

II.a. Certificate reference number

II.b. Local reference number

I, the undersigned official veterinarian, certify that the hatching eggs described above:

(a) comply with

(1) either [the provisions of Articles 6, 7 and 15 of Council Directive 90/539/EEC]

(1) (2) or [the provisions of Articles 6 (1) (a), (b) and (2), 7 and 15 of Council Directive 90/539/EEC];

(3) (b) comply with the provisions of Article 12 (1) (a) of Council Directive 90/539/EEC.

(4) (c) comply with the provisions of Commission Decision(s): / /EC concerning additional guarantees with regard to (indicate disease(s)) and in accordance with Article 13 or Article 14 of Council Directive 90/539/EEC.

(d) come from poultry which:

(1) either [have not been vaccinated against Newcastle disease;]

(1) or [have been vaccinated against Newcastle disease using:

(name and type (live or inactivated) of Newcastle disease virus strain used in vaccine(s))

On (date) at the age of weeks].

II.2. Public health attestation

I, the undersigned official veterinarian, certify that the hatching eggs described above:

(5) (a) come from a flock which has been tested for Salmonella serotypes with public health significance in accordance with Regulation (EC) No 2160/2003.

Date of last sampling of the flock from which the testing result is known:

Result of all testing in the flock:

(1) (6) either [positive;]

(1) (6) or [negative]

(5) (b) and, neither Salmonella Enteritidis nor Salmonella Typhimurium were detected within the control programme referred to in point II.2(a).

II.3. Additional health information

(1) (7) II.3.1. The consignment consists of live poultry/day-old chicks/hatching eggs originating from holdings where no vaccination against avian influenza has been carried out.

(1) II.3.2. This consignment complies with the animal health conditions laid down in Commission Decision 2006/415/EC.

(1) II.3.3. This consignment complies with the animal health conditions laid down in Commission Decision 2006/563/EC.

Notes

Part I:

Box reference I.16: Registration number (railway wagons or container and lorries), flight number (aircraft) or name (ship).

Box reference I.31: Category: select one of the following: pure line/grandparents/parents/laying pullets/fattening/others.

Identification: indicate the identification details of parent flock and brand name.

Age: provide the date of collection.

Part II:

(1) Keep as appropriate.

(2) Only applicable if II.3.2. or II.3.3. are complied with.

(3) To certify in case of dispatch to a Member State, which has an EC-approved non-vaccinating status for Newcastle disease currently: Finland and Sweden otherwise delete reference.

(4) Complete if appropriate.

(5) The certification under points II.2 only applies if the poultry belongs to the species Gallus gallus.

(6) If any of the results were positive for Salmonella Infantis, Salmonella Virchow or Salmonella Hadar during the life of the flock, indicate as positive.

(7) Only applicable for Member States which carry out vaccination against avian influenza according to EC approved vaccination plan.

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

Official 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. No(s) of related original certificates

No(s) of accompanying documents

I.7.

I.8. Country of origin

ISO code

I.9. Region of origin

Code

I.10. Country of destination

ISO code

I.11. Region of destination

Code

I.12. Place of origin

Holding

Establishment

Name

Approval number

Address

Postal code

I.13. Place of destination

Holding

Establishment

Approved body

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

Approved body

Other

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)

Category

Age

Number of packages

Quantity

Part II: Certification

EUROPEAN COMMUNITY

Day-old chicks

II.a. Certificate reference number

II.b. Local reference number

II.1. Animal health attestation

I, the undersigned official veterinarian, hereby certify that the day-old chicks described above:

(a) comply with:

(1) either (i)[the provisions of Articles 6, 8 and 15 of Council Directive 90/539/EEC]

(1) (2) (3) or [the provisions of Articles 6 (1) (a), (b) and (2), 8 and 15 of Council Directive 90/539/EEC];

(1) or (ii) [if derived from hatching eggs imported according to the requirements of Model HEP of Commission Decision 2006/696/EC, with the provision of Article 6 (1) and Article 8 (b) and (c) of Council Directive 90/539/EEC].

(1) (2) (3) or [if derived from hatching eggs imported according to the requirements of Model HEP of Commission Decision 2006/696/EC, with the provision of Article 6 (1) (a), (b) and Article 8 (b) and (c) of Council Directive 90/539/EEC].

(4) (b) comply with Article 12 (1)(b) of Council Directive 90/539/EEC.

(5) (c) comply with the provisions of Commission Decision(s): //EC concerning additional guarantees with regard to (indicate disease(s)) in accordance with Article 13 or 14 of Council Directive 90/539/EEC.

(1) (d) either [have not been vaccinated against Newcastle disease;]

(1) or [have been vaccinated against Newcastle disease using:

(name and type (live or inactivated) of Newcastle disease virus strain used in vaccine(s))

on (date)].

(e) come from poultry which:

(1) either [have not been vaccinated against Newcastle disease;]

(1) or [have been vaccinated against Newcastle disease using:

(name and type (live or inactivated) of Newcastle disease virus strain used in vaccine(s))

on (date)].

(1) (f) that the day-old chicks for introduction into flocks of breeding poultry or flocks of productive poultry come from flocks which have been tested with negative results according to the rules laid down in Commission Decision 2003/644/EC of 8 September 2003 establishing additional guarantees regarding salmonella for consignments to Finland and Sweden of breeding poultry and day-old chicks for introduction into flocks of breeding poultry or flocks of productive poultry.

II.2. Public health attestation

I, the undersigned official veterinarian, hereby certify that the day-old chicks described above:

(6) (a) come from a flock which has been tested for Salmonella serotypes with public health significance in accordance with Regulation (EC) No 2160/2003.

Date of last sampling of the flock from which the testing result is known:

Result of all testing in the flock:

(1) (7) either [positive;]

(1) (7) or [negative]

(6) (b) and, if intended for breeding, neither Salmonella Enteritidis nor Salmonella Typhimurium were detected within the control programme referred to in point II.2(a).

II.3. Additional health information

(1) (8) II.3.1. The consignment consists of live poultry/day-old chicks/hatching eggs originating from holdings where no vaccination against avian influenza has been carried out.

(1) II.3.2. This consignment complies with the animal health conditions laid down in Commission Decision 2006/415/EC.

Notes

Part I:

Box reference I.6: No(s) of accompanying animal health certificates.

Box reference I.16: Registration number (railway wagons or container and lorries), flight number (aircraft) or name (ship).

Box reference I.19: use the appropriate HS codes: 01.05, 01.06.39.

Box reference I.31: Category: select one of the following: pure line/grandparents/parents/laying pullets/fattening/others.

Age: provide date hatched.

Number of packages: provide the number of crates or cages.

Part II:

(1) Keep as appropriate.

(2) Only applicable if II.3.2. is complied with.

(3) In those cases where day-old chicks come from eggs imported from a third country the period of isolation on the holding of destination has to be respected as foreseen in Article 10 of Commission Decision 2006/696/EC. The competent authority of the final destination of the day-old chicks has to be informed through the TRACES system about this requirement.

(4) To certify in case of dispatch to a Member State, which has an EC-approved non-vaccinating status for Newcastle disease currently: Finland and Sweden otherwise delete reference.

(5) Complete if appropriate.

(6) The guarantees given under points II.2 only apply if the day-old chicks belong to the species Gallus gallus and,

They apply from 1 February 2008, if the day-old chicks are intended solely for production of eggs, other than hatching eggs.

They apply from 1 January 2009, if the day-old chicks are intended solely for meat production.

(7) If any of the results were positive for the serotypes below during the life of the flock, indicate as positive.

Flocks of breeding poultry: Salmonella Hadar, Salmonella Virchow and Salmonella Infantis.

Flocks of productive poultry: Salmonella Enteritidis and Salmonella Typhimurium.

(8) Only applicable for Member States which carry out vaccination against avian influenza according to EC approved vaccination plan.

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

Official 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. Region of origin

Code

I.10. Country of destination

ISO code

I.11. Region of destination

Code

I.12. Place of origin

Holding

Establishment

Name

Approval number

Address

Postal code

I.13. Place of destination

Holding

Establishment

Approved body

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

Approved body

Other

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)

Category

Identification

Number of packages

Quantity

Part II: Certification

EUROPEAN COMMUNITY

Breeding and productive poultry

II.a. Certificate reference number

II.b. Local reference number

II.1. Animal health attestation

I, the undersigned official veterinarian, certify that the poultry described above:

(a) comply with the provisions of Articles 6, 9 and 15 of Council Directive 90/539/EEC.

(1) (b) comply with Article 12(1)(c) Council Directive 90/539/EEC.

(2) (c) comply with the provisions of Commission Decision(s): //EC concerning additional guarantees with regard to (indicate disease(s)) in accordance with Article 13 or 14 of Council Directive 90/539/EEC.

(3) (d) either [have not been vaccinated against Newcastle disease;]

(3) or [have been vaccinated against Newcastle disease using:

(name and type (live or inactivated) of Newcastle disease virus strain used in vaccine(s))

on (date) at the age of weeks].

(3) (e) that the breeding poultry has been tested with negative results according to the rules laid down in Commission Decision 2003/644/EC of 8 September 2003 establishing additional guarantees regarding salmonella for consignments to Finland and Sweden of breeding poultry and day-old chicks for introduction into flocks of breeding poultry or flocks of productive poultry.

(3) (f) that the laying hens (productive poultry reared with a view to producing eggs for consumption) have been tested with negative results according to the rules laid down in Commission Decision 2004/235/EC of 9 March 2004 establishing additional guarantees regarding salmonella for consignments to Finland and Sweden of laying hens (productive poultry reared with a view to producing eggs for consumption).

II.2. Public health attestation

I, the undersigned official veterinarian, certify that the poultry described above:

(4) (a) come from a flock which has been tested for Salmonella serotypes with public health significance in accordance with Regulation (EC) No 2160/2003.

Date of last sampling of the flock from which the result is known:

Result of all testing in the flock:

(3) (5) either [positive;]

(3) (5) or [negative];

(4) (b) and, if breeding poultry, neither Salmonella Enteritidis nor Salmonella Typhimurium were detected within the control programme referred to in point II.2(a).

II.3. Additional health information

(3) (6) II.3.1. The consignment consists of live poultry/day-old chicks/hatching eggs originating from holdings where no vaccination against avian influenza has been carried out.

Notes

Part I:

Box reference I.16: Registration number (railway wagons or container and lorries), flight number (aircraft) or name (ship).

Box reference I.19: use the appropriate HS codes: 01.05, 01.06.39.

Box reference I.31: Category: select one of the following: pure line/grandparents/parents/laying pullets/fattening/others.

Identification: indicate the identification details of flock of origin and brand name.

Part II:

(1) To certify in case of dispatch to a Member State, which has an EC-approved non-vaccinating status for Newcastle disease currently: Finland and Sweden otherwise delete reference.

(2) Complete if appropriate.

(3) Keep as appropriate

(4) The guarantees given under points II.2 apply only if the poultry belongs to the species Gallus gallus, and

They apply from 1 February 2008, if the poultry is intended solely for the production of eggs, other than hatching eggs.

They apply from 1 January 2009, if the poultry is reared solely for meat production.

(5) If any of the results were positive for the serotypes below during the life of the flock, indicate as positive.

Flocks of breeding poultry: Salmonella Hadar, Salmonella Virchow and Salmonella Infantis.

Flocks of productive poultry: Salmonella Enteritidis and Salmonella Typhimurium.

(6) Only applicable for Member States which carry out vaccination against avian influenza according to EC approved vaccination plan.

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

Official 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. Region of origin

Code

I.10. Country of destination

ISO code

I.11. Region of destination

Code

I.12. Place of origin

Holding

Establishment

Name

Approval number

Address

Postal code

I.13. Place of destination

Holding

Establishment

Approved body

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

Game restocking

Slaughter

Pets

Approved body

Other

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)

Category

Identification

Age

Number of packages

Quantity

Part II: Certification

EUROPEAN COMMUNITY

Poultry, day-old chicks and eggs for hatching in lots of under 20 (except for ratites and hatching eggs thereof)

II.a. Certificate reference number

II.b. Local reference number

II.1. Animal health attestation

I, the undersigned official veterinarian, certify that:

(a) (1) either [the poultry, day-old chicks or hatching eggs described above comply with the provisions of Article 11 of Council Directive 90/539/EEC.]

(1) (2) or [the poultry, day-old chicks or hatching eggs described above comply with the provisions of Article 11(1) and (2) first to fourth indent of Council Directive 90/539/EEC.]

(3) (b) the poultry, day-old chicks or hatching eggs described above comply with Article 12 (1) of Council Directive 90/539/EEC.

(1) (c) either (i) [the poultry;]

(1) or (ii) [day-old chicks;]

(1) or (iii) [hatching eggs;]

(4) comply with the provisions of Commission Decision(s): //EC concerning additional guarantees with regard to (indicate disease(s)) in accordance with Article 13 or 14 of Council Directive 90/539/EEC.

(d) the poultry:

(1) either [have not been vaccinated against Newcastle disease;]

(1) or [have been vaccinated against Newcastle disease using:

(name and type (live or inactivated) of Newcastle disease virus strain used in vaccine(s))

on (date) at the age of weeks].

(e) the day old chicks:

(1) either [have not been vaccinated against Newcastle disease;]

(1) or [have been vaccinated against Newcastle disease using:

(name and type (live or inactivated) of Newcastle disease virus strain used in vaccine(s))

on (date)].

(f) the poultry from which the day-old chicks come:

(1) either [have not been vaccinated against Newcastle disease;]

(1) or [have been vaccinated against Newcastle disease using:

(name and type (live or inactivated) of Newcastle disease virus strain used in vaccine(s))

on (date) at the age of weeks].

(g) the poultry from which hatching eggs come:

(1) either [have not been vaccinated against Newcastle disease;]

(1) or [have been vaccinated against Newcastle disease using:

(name and type (live or inactivated) of Newcastle disease virus strain used in vaccine(s))

on (date) at the age of weeks].

II.2. Public health attestation

I, the undersigned official veterinarian, certify that:

(5) (a) the poultry, the day-old chicks or the hatching eggs come from a flock which has been tested for Salmonella serotypes with public health significance in accordance with Regulation (EC) No 2160/2003.

Date of last sampling of the flock from which the result is known:

Result of all testing in the flock:

(1) (6) either [positive;]

(1) (6) or [negative];

(5) (b) and, if breeding poultry, hatching eggs or day-old chicks intended for breeding, neither Salmonella Enteritidis nor Salmonella Typhimurium were detected within the control programme referred to in point II.2(a).

II.3. Additional health information

(1) (7) II.3.1. The consignment consists of live poultry/day-old chicks/hatching eggs originating from holdings where no vaccination against avian influenza has been carried out.

(1) II.3.2. This consignment complies with the animal health conditions laid down in Commission Decision 2006/415/EC.

(1) II.3.3. This consignment complies with the animal health conditions laid down in Commission Decision 2006/563/EC.

Notes

Part I:

Box reference I.16: Registration number (railway wagons or container and lorries), flight number (aircraft) or name (ship).

Box reference I.19: use the appropriate HS codes: 01.05, 01.06.39, 04.07.

Box reference I.31: Category: select one of the following: pure line/grandparents/parents/laying pullets/fattening/others.

Identification: indicate the identification details of flocks of origin.

Age: provide the date of collection (in case of eggs) or the approximate age (in case of poultry).

Part II:

(1) Keep as appropriate

(2) Only applicable if II.3.2. or II.3.3. is complied with.

(3) To certify in case of dispatch to a Member State, which has an EC-approved non-vaccinating status for Newcastle disease currently: Finland and Sweden otherwise delete reference.

(4) Complete if appropriate.

(5) The guarantees given under points II.2 apply only if the poultry, day-old chicks or hatching eggs belong to the species Gallus gallus, and

They apply from 1 February 2008, if the poultry or day-old chicks is intended solely for production of eggs, other than hatching eggs.

They apply from 1 January 2009, if the poultry or day-old chicks is reared solely for meat production.

(6) If any of the results were positive for the serotypes below during the life of the flock, indicate as positive.

Flocks of breeding poultry: Salmonella Hadar, Salmonella Virchow and Salmonella Infantis.

Flocks of productive poultry: Salmonella Enteritidis and Salmonella Typhimurium.

(7) Only applicable for Member States which carry out vaccination against avian influenza according to EC approved vaccination plan.

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

Official 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. Region of origin

Code

I.10. Country of destination

ISO code

I.11. Region of destination

Code

I.12. Place of origin

Holding

Establishment

Name

Approval number

Address

Postal code

I.13. Place of destination

Holding

Establishment

Approved body

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

Slaughter

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)

Category

Identification

Age

Number of packages

Quantity

Part II: Certification

EUROPEAN COMMUNITY

Slaughter poultry

II.a. Certificate reference number

II.b. Local reference number

II.1. Animal health attestation

I, the undersigned official veterinarian, certify that the poultry described above:

(a) (1) either [comply with the provisions of Articles 10 and 15 of Council Directive 90/539/EEC.]

(1) (2) or [comply with the provisions of Articles 10 (a), (b), (c) and 15 of Council Directive 90/539/EEC.]

(3) (b) comply with Articles 12(1)(d) of Council Directive 90/539/EEC.

(4) (c) comply with the provisions of Commission Decision(s): //EC concerning additional guarantees with regard to (indicate disease(s)) in accordance with Article 13 or 14 of Council Directive 90/539/EEC (2)

(d) (1) either [have not been vaccinated against Newcastle disease;]

(1) or [have been vaccinated against Newcastle disease using:

(name and type (live or inactivated) of Newcastle disease virus strain used in vaccine(s))

on (date) at the age of weeks].

II.2. Public health attestation

I, the undersigned official veterinarian, certify that the poultry described above:

(5) are tested for Salmonella serotypes with public health significance according to Regulation (EC) No 2160/2003.

Date of last sampling of the flock from which the result is known:

Result of all testing in the flock:

(1) (6) either [positive;]

(1) (6) or [negative]

II.3. Additional health information

(1) (7) II.3.1. The consignment consists of live poultry/day-old chicks/hatching eggs originating from holdings where no vaccination against avian influenza has been carried out.

(1) II.3.2. This consignment complies with the animal health conditions laid down in Commission Decision 2006/415/EC.

Notes

Part I:

Box reference I.16: Registration number (railway wagons or container and lorries), flight number (aircraft) or name (ship).

Box reference I.19: use the appropriate HS codes: 01.05, 01.06.39.

Box reference I.31: Category: select one of the following: pure line/grandparents/parents/laying pullets/fattening/others.

Identification: indicate the identification details of parent flock and brand name.

Age: provide the approximate age of the poultry.

Part II:

(1) Keep as appropriate.

(2) Only applicable if II.3.2. or II.3.3. is complied with.

(3) To certify in case of dispatch to a Member State, which has an EC-approved non-vaccinating status for Newcastle disease currently: Finland and Sweden otherwise delete reference.

(4) Complete if appropriate.

(5) The guarantees given under point II.2 apply only if the slaughter poultry belong to the species Gallus gallus, and

They apply from 1 February 2008, if the poultry was kept solely for the production of eggs, other than hatching eggs.

They apply from 1 January 2009, if the poultry is reared solely for meat production.

(6) If any of the results were positive for the serotypes below during the life of the flock, indicate as positive.

Flocks of breeding poultry: Salmonella Enteritidis, Salmonella Typhimurium, Salmonella Hadar, Salmonella Virchow and Salmonella Infantis.

Flocks of productive poultry: Salmonella Enteritidis and Salmonella Typhimurium.

(7) Only applicable for Member States which carry out vaccination against avian influenza according to EC approved vaccination plan.

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

Official 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. Region of origin

Code

I.10. Country of destination

ISO code

I.11. Region of destination

Code

I.12. Place of origin

Holding

Establishment

Name

Approval number

Address

Postal code

I.13. Place of destination

Holding

Establishment

Approved body

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

Game restocking

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)

Category

Identification

Age

Number of packages

Quantity

Part II: Certification

EUROPEAN COMMUNITY

Poultry for restocking game supplies

II.a. Certificate reference number

II.b. Local reference number

II.1. Animal health attestation

I, the undersigned official veterinarian, certify that the poultry described above:

(a) comply with the provisions of Articles 10a and 15 of Council Directive 90/539/EEC.

(1) (b) comply with Article 12 (1) (c) of Council Directive 90/539/EEC.

(2) (c) comply with the provisions of Commission Decision(s): //EC concerning additional guarantees with regard to (indicate disease(s)) in accordance with Article 13 or 14 of Council Directive 90/539/EEC.

(3) either (d) [have not been vaccinated against Newcastle disease;]

(3) or [have been vaccinated against Newcastle disease using:

(name and type (live or inactivated) of Newcastle disease virus strain used in vaccine(s))

on (date) at the age of weeks].

II.2. Additional health information

(3) II.2.1. The consignment consists of live poultry/day-old chicks/hatching eggs originating from holdings where no vaccination against avian influenza has been carried out.

(3) II.2.2. This consignment complies with the animal health conditions laid down in Commission Decision 2006/605/EC.

Notes

Part I:

Box reference I.16: Registration number (railway wagons or container and lorries), flight number (aircraft) or name (ship).

Box reference I.19: use the appropriate HS codes: 01.05, 01.06.39.

Box reference I.31: Category: select one of the following: pure line/grandparents/parents/laying pullets/fattening/others.

Identification: indicate the identification details of flocks of origin.

Age: provide the approximate age of the poultry.

Part II:

(1) To certify in case of dispatch to a Member State, which has an EC-approved non-vaccinating status for Newcastle disease currently: Finland and Sweden otherwise delete reference.

(2) Complete if appropriate.

(3) Keep as appropriate.

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

Official veterinarian

Name (in Capital):

Qualification and title

Local Veterinary Unit:

No of the related LVU:

Date:

Signature:

Stamp’