F1ANNEX IIIMODEL FORMS FOR ZOOTECHNICAL CERTIFICATES FOR ENTRY INTO THE UNION OF PUREBRED BREEDING ANIMALS AND THEIR GERMINAL PRODUCTS

Annotations:

SECTION CZootechnical certificate for entry into the Union of oocytes of purebred breeding animals

Zootechnical certificate, in accordance with Regulation (EU) 2016/1012, for entry into the Union of oocytes of purebred breeding animals of the following species:

  1. (a)

    bovine species (Bos taurus, Bos indicus, Bubalus bubalis)206

  2. (b)

    porcine species (Sus scrofa)206

  3. (c)

    ovine species (Ovis aries)206

  4. (d)

    caprine species (Capra hircus)206

  5. (e)

    equine species (Equus caballus and Equus asinus)206

All EU official languages of the zootechnical certificates, including footnotes and notes, are available in EUR-Lex

(a logo of the issuing body or embryo production team may be included)

Certificate number207

Name of issuing breeding body/embryo production team (provide contact details and, where available, a reference to the website)/reference to zootechnical certificate of donor animal208

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Part A.

Information on the donor female purebred breeding animal209

1.

Name of issuing breeding body (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 entered207

5.

Breeding book number of donor female

6.

Identification of donor female210

6.1.

System

6.2.

Individual identification number

6.3.

Name207

7.

Identity verification207211212

7.1.

Method

7.2.

Result

8.

Date (use format dd.mm.yyyy or ISO 8601)213 and country of birth of donor female

9.

Name, address and email address207 of breeder

10.

Name, address and email address207 of owner

11.

The pedigree of donor female212214

11.1.Sire

Breeding book number and section

Individual identification number210215

Name207

11.1.1.Paternal Grandsire

Breeding book number and section

Individual identification number210215

Name207

11.1.2.Paternal Granddam

Breeding book number and section

Individual identification number210215

Name207

11.2.Dam

Breeding book number and section

Individual identification number210215

Name207

11.2.1.Maternal Grandsire

Breeding book number and section

Individual identification number210215

Name207

11.2.2.Maternal Granddam

Breeding book number and section

Individual identification number210215

Name207

12.

Additional information207212216

12.1.

Results of performance testing

12.2.

Up-to-date results of the genetic evaluation carried out last on …(insert date in format dd.mm.yyyy or ISO 8601)

12.3.

Genetic defects and genetic peculiarities of donor female in relation to the breeding programme

12.4.

Other relevant information on donor female

12.5.

Other relevant information, including results of performance testing or genetic evaluation, on parents and grandparents, if not indicated in point 11

13.

Validation217

13.1.

Done at: …

13.2.

on: …

(insert place of issue)

(insert date of issue)

13.3.

Name and capacity of the signatory: …

(insert in capital letters name and capacity of the individual218signing the certificate)

13.4.

Signature: …

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Part B.

Information on oocytes219

1.

Identification of donor female210217

1.1.

Individual identification number

1.2.

Reference to zootechnical certificate of donor female207

2.

Identification of oocytes

Colour of straws or other packages207220

Code on straws or other packages

Number of straws or other packages

Number of oocytes221

Place of collection

Date of collection

(dd.mm.yyyy or ISO 8601)

Others207

3.

Embryo production team of dispatch

3.1.

Name

3.2.

Address

3.3.

Approval number

4.

Destination (insert name and address)

5.

Validation

5.1.

Done at: …

5.2.

on: …

(insert place of issue)

(insert date of issue)

5.3.

Name and capacity of the signatory: …

(insert in capital letters name and capacity of the individual222signing that certificate)

5.4.

Signature: …

Footnotes:

Delete where not applicable.

Keep empty if not applicable.

In case Part A of the zootechnical certificate is kept empty or removed from the zootechnical certificate and a copy of the zootechnical certificate issued for the donor female purebred breeding animal is attached, a reference (certificate number) to that zootechnical certificate of the donor female purebred breeding animal must be provided.

Part A of the zootechnical certificate may be kept empty or removed from the zootechnical certificate following the instructions in footnote 14.

In accordance with the legislation on the identification and registration of animals of the country of dispatch.

This may be required for purebred breeding animals of the bovine, porcine, ovine, caprine and equine species used for the collection of oocytes in accordance with Article 22(2) of Regulation (EU) 2016/1012 by breed societies maintaining the breeding book where the offspring of the donor animal is to be entered.

If necessary attach additional sheets of paper.

For animals of the ovine and caprine species kept in extensive farming conditions, instead of the date of birth, the year of birth (yyyy) and date of identification (dd.mm.yyyy or ISO 8601) may be provided.

Insert main section or supplementary section as appropriate. Information on additional generations may be provided.

Add individual identification number if different from breeding book number.

If the results of performance testing or genetic evaluation can be accessed on a website, a direct reference to that website may be provided instead.

Only required if Part A of the zootechnical certificate is issued by the breeding body, including official service of the country of dispatch, which is listed in accordance with Article 34 of Regulation (EU) 2016/1012 and Part B of the zootechnical certificate is issued by an embryo production team acting on behalf of the breeding body in accordance with Article 33(1) of that Regulation.

That individual shall be a representative of the breeding body, including official service of the country of dispatch, which is listed in accordance with Article 34 of Regulation (EU) 2016/1012, who is authorised to sign the zootechnical certificate.

In case only Part B of the zootechnical certificate is issued by an embryo production team acting on behalf of the breeding body in accordance with Article 33(1) of Regulation (EU) 2016/1012 and Part A of the zootechnical certificate is kept empty or removed from the zootechnical certificate, point 1 of Part B must be completed and copies of the zootechnical certificates for the donor female, issued in accordance with the model laid down in Section A of Annex III to Regulation (EU) 2017/717, must be attached.

Optional.

Where there is more than one oocyte in a straw or another package, a clear indication of the number of oocytes is required. A straw or another package shall contain only oocytes collected from one purebred breeding animal.

That individual shall be a representative of the breeding body, including official service of the country of dispatch, which is listed in accordance with Article 34 of Regulation (EU) 2016/1012, or of an embryo production team acting on behalf of the breeding body in accordance with Article 33(1) of that Regulation, who is authorised to sign the zootechnical certificate.

Notes:

The zootechnical certificate shall be issued in at least one of the official languages of the country of dispatch.

The colour of the signature must be different from that of the printing.

The zootechnical certificate may be issued in portrait or landscape orientation.

The footnotes and notes of this zootechnical certificate may not be printed, provided a reference to a directly accessible multilingual source of information is included in the title.