To
of
Location of animal....................
I, the undersigned, being a veterinary inspector of the.................... hereby give you notice in accordance with the provisions of the TSE (Wales) Regulations 2002 that, as the person appearing to me to be the owner or person in charge of the bovine animal specified below, the National Assembly proposes to cause the animal to be slaughtered at the premises specified below as an offspring animal under Schedule 7 to the TSE (Wales) Regulations 2002.
Signed Dated
Name in BLOCK LETTERS
Office Address:
The bovine animal to which the completed and signed notice applies is:
Official Ear Mark Description of bovine animal including age, breed and sex:
Premises at which the animal is to be slaughtered: