Part I : Details of dispatched consignment

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1 Intra trade certificate Part I : Details of dispatched consignment I.1. Consignor I.2. Certificate reference number I.2.a.Local reference number:: I.3. Central Competent Authority I.4. Local Competent Authority Country I.5. Consignee I.6. No.(s) of related original certificates No.(s) of accompanying documents Country I.7. Dealer 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/place of harvest I.13. Place of destination Holding Assembly centre Dealer's premise Holding Assembly centre Dealer's premise Approved body Semen centre Approved aquaculture holding Approved body Semen centre Approved aquaculture holding Embryo team Establishment Other Embryo team Establishment Other I.14. Place of loading I.15. Date and time of departure I.16. Means of transport Aeroplane Ship Railway wagon Road vehicle Other Identification:: Number(s): I.21 Temperature of products Ambient Chilled Frozen I.23. Identification of container/seal number I.17. Transporter I.20. Number/Quantity Member state I.22. Number of packages I.25. Animals certified for/products certified for: I.26. Transit through 3rd country I.27. Transit through Member states Exit point Entry point Code BIP unit no.: I.28. Export 3rd country ISO code Exit point Code I.30. Route plan Yes No I.29. Estimated journey time I.31. Identification of the animals en 1/ 5

2 88/407 (2016/2008) Bovine semen D3 II. Health information II.a. Certificate reference number II.b.Local reference number: Part II: Certification II.1. Notes Animal Health Attestation I, the undersigned official veterinarian, hereby certify that the semen described above: as collected, processed and stored for a minimum period of 30 days immediately following collection in a semen collection centre(2) situated in the Member State of origin of the semen and operated and supervised in accordance with Chapter I and Chapter II of Annex A to Directive 88/407/EEC, and from where the semen was accepted into the semen storage centre detailed in Box I.12. situated in the same Member State of origin of the semen under animal health and veterinary certification conditions at least as strict as those provided for in: [Annex D1 to Directive 88/407/EEC(3);] [Annex D2 to Directive 88/407/EEC(4);] [Annex D3 to Directive 88/407/EEC(3) (4);] [until 31 October 2011, Annex D3 to Directive 88/407/EEC(3) (4) (5);] ] as collected, processed and stored for a minimum period of 30 days immediately following collection in a semen collection centre(2) situated in the European Union and operated and supervised in accordance with Chapter I and Chapter II of Annex A to Directive 88/407/EEC and was accepted into the semen storage centre detailed in Box I.12., in accordance with: [Annex D1 to Directive 88/407/EEC(3);] [Annex D2 to Directive 88/407/EEC(4);] [Annex D3 to Directive 88/407/EEC(3) (4);] [until 31 October 2011, Annex D3 to Directive 88/407/EEC(3)(4)(5);] ] as collected, processed and stored for a minimum period of 30 days immediately following collection in a semen collection centre(2) situated in a third country or part(s) thereof listed in Annex I to Decision 2011/630/EU which is operated and supervised in accordance with Chapter I and Chapter II of Annex A to Directive 88/407/EEC, and was imported into the European Union under the conditions of Articles 8 to 12 of Directive 88/407/EEC in accordance with: [Section A of Part 1 of Annex II to Decision 2011/630/EU (3);] [until 31 October 2011, Part 1 of Annex II to Decision 2004/639/EC(3);] [Section B of Part 1 of Annex II to Decision 2011/630/EU (4);] [until 31 October 2011, Part 2 of Annex II to Decision 2004/639/EC(4);] [Section C of Part 1 of Annex II to Decision 2011/630/EU (3) (4);] [until 31 October 2011, Part 3 of Annex II to Decision 2004/639/EC(3) (4);] ] II.2. was stored in the semen storage centre(2) indicated in Box I.12. which is operated and supervised in accordance with Chapter I(2) and Chapter II(2) of Annex A to Directive 88/407/EEC. Bluetongue exemption from exit ban: Semen in compliance with Article 8(a) or 8(b) of Regulation (EC) No 1266/2007 Semen obtained from donor animals which comply with (point (a), (b), (c), (d) or (e), indicate as appropriate) of Annex III.B to Regulation (EC) No 1266/2007 II.2 (Semen, ova embryos, indicate as appropriate) in compliance with (Article 7 or 7(2), indicate as appropriate) of Commission Implementing Decision (EU) 2016/2008 concerning animal health control measures relating to lumpy skin disease in certain Member States. Part I: Box I.6.: Box I.12.: Box I.13.: Box I.23.: Box I.31.: Number(s) of related original certificates shall correspond to the serial number(s) of the individual official national document(s), INTRA health certificate(s) or CVED(s) that accompanied the semen described above from the semen collection centre of its origin to the described above semen storage centre. place of origin shall correspond to the semen storage centre (as defined in Article 2(b) of Directive 88/407/EEC) of dispatch of the semen. place of destination shall correspond to the semen collection or storage centre (as defined in Article 2(b) of Directive 88/407/EEC), or to the holding of semen destination. identification of container and seal number shall be indicated. donor identity shall correspond to the official identification of the animal. date of collection shall be indicated in the following format: dd/mm/yyyy. approval number of the centre shall correspond to the approval number of the semen collection centre of the semen origin. Part II: (2) (3) (4) (5) Delete as appropriate Only semen collection or storage centres listed in accordance with Article 5(2) or Article 9 of Directive 88/407/EEC on the Commission websites: For semen collected, processed and stored in accordance with provisions of Directive 88/407/EEC, as amended by Directive 2003/43/EC. For semen collected, processed and stored before 31 December 2004 in conformity with the provisions of Directive 88/407/EEC applying until 1 July Annex D3 to Directive 88/407/EEc as introduced by Commission Decision 2008/120/EC. The colour of the stamp and signature must be different from that of the other particulars in the certificate. en 2/ 5

3 88/407 (2016/2008) Bovine semen D3 II. Health information II.a. Certificate reference number II.b.Local reference number: Part II: Certification Official veterinarian or official inspector (in Capital): Local Veterinary Unit: Stamp Qualification and title: LVU N : Signature: en 3/ 5

4 III.1. Date of the inspection III.2. Certificate Reference Number:: Intra trade certificate III.3. Documentary Check:: No Yes EU Standard Additional guarantees National requirements III.4. Identity Check:: No Yes III.5. Physical Check:: No Total animals checked III.6. Laboratory Tests:: No Yes Part III: Control III.7. Welfare check No Yes III.8.Infringement of welfare regulation:: III.8.1.Transporter authorisation invalid III.8.2.Non-compliance of the means of transport III.8.3.Stocking density exceeded Average space III.8.4.Travel times exceeded III.8.5.Watering and feeding not fulfilled III.8.6.Mishandling or negligence to the animals III.8.7.Supplementary measures for the journeys of long duration III.8.8.Certificate of proficiency of the driver III.8.9.Data registered in the log book III.8.10.Other III.10. Impact of the transport on animals Number of dead animals:: Estimation: Number of unfit animals :: Estimation: Number of birth or abortion: III.11. Corrective action Tested for:: Random Suspicion Results:: Pending III.9. Infringement of health legislation III.9.1. Absence/Invalid certificate III.9.2. Mis-match with documents III.9.3. Non authorised country III.9.4. Non approved region/ zone III.9.5. Prohibited species III.9.6. Absence of additional guarantee III.9.7. Non approved holding III.9.8. Diseased or suspect animals III.9.9. Unsatisfactory tests III Absence or non legal identification III.9.11.National requirements not fulfilled III of destination invalid III Other III.12. Follow-up of quarantine III Delayed departure III Transfer procedure III Quarantine III Humane killing/euthanasia III Destruction of carcasses/products III.II.6. Return of consignment III Treatment of products III Use of products for other purpose Identification: III.12.1.Humanely killing/euthanasia III.12.2.Release III.13. Place of inspection Establishment Holding Assembly centre Dealer's premise Approved body Semen centre Port Airport Exit point Enroute Other III.14. Official veterinarian or official inspector Local Veterinary Unit LVU N (in Capital): Qualification and title Signature: en 4/ 5

5 PLANNING 1.1. ORGANISER name and address (a) (b) 1.2. of the person in charge of the journey 1.3. Telephone / Fax 2. TOTAL EXPECTED DURATION (hours / days) 3.1. Place and country of DEPARTURE 4.1. Place and country of DESTINATION 3.2. Date 3.3. Time 4.2. Date 4.3. Time 5.1. Species 5.2. Number of animals 5.3. Veterinary certificate(s) number(s) 5.4. Estimated total weight of the consignment (in kg) 5.5. Total space foreseen for the consignment (in m²) 6. LIST OF FORESEEN RESTING, TRANSFER OR EXIT POINTS 6.1. of the places where animals are to be rested, or transferred (including exit points) Date 6.2. Arrival 6.3. Length (in hours) Time 6.4. Transporter name and authorisation N (if different from the organiser) 6.5 identification 7. I, the organiser, hereby declare that I am responsible for the organisation of the above-mentioned journey and I have made suitable arrangements to safeguard the welfare of the animals throughout the journey in accordance with the provisions of Council Regulation 1/ Signature of the organiser (a) Organiser: see definition laid down in Article 2(q) of Council Regulation 1/2005 (b) If the organiser is a transporter the authorisation number shall be specified en 5/ 5