ANNEX IISupplementary provisions
ANNEX II VENUE REGISTER FOR A CIRCUS or ANIMAL ACT (pursuant to Commission Regulation (EC) No 1739/2005) Text of image 1.1. Circus or animal act name: 1.2. Registration number: 1.3. Address: 1.4. Circus operator: 1.5. Address of resting/winter quarters (if applicable): 1.6. Point of contact (including phone number): Permanent: when travelling (if available — e.g. GSM): 2.1. Date of arrival 2.2. Country 2.3. Last place visited prior to movement to another Member State (region and town) 2.4. Intended date of departure 2.5. Stamp and signature of official veterinarian (*) Stamp Date Signature Stamp Date Signature Stamp Date Signature Stamp Date Signature (*) To be completed when the circus is authorised to move to another Member State.