ANNEX IIISupplementary provisions
ANNEX III INDIVIDUAL PASSPORT FOR ANIMALS IN A CIRCUS or ANIMAL ACT Text of image COVER EUROPEAN UNION [MEMBER STATE] ANIMAL PASSPORT (CIRCUSES AND ANIMAL ACTS) Number Issued at on / / Competent authority Regional/local service of COVER Text of image 1. Owner 1.1. First name 1.2. Surname 1.3. Address 1.4. Post code 1.5. City 1.6. Country 1.7. Telephone number 1.8. GSM ( 1 ) 1.9. Fax ( 1 ) 1.10. E-mail ( 1 ) ( 1 ) Not mandatory. In the event of a change of ownership, this section shall be crossed out and the relevant addendum must be completed. 2. Description and identification of the animal 2.1. Name 2.2. Species 2.3. Breed 2.4. Sex 2.5. Date of birth 2.6. Coat colour (if any) 2.7. Particular feature(s) 2.8. Individual identification number (if practical) 2.9. Type (tattoo, ear tag, microchip, sketch card, photograph etc.) 2.10. Location 3. Notes The identification must be verified before any new entry is made on this passport. Text of image 4. Vaccination history 4.1. Date 4.2. Vaccine 4.3. Stamp and signature 5. Testing details (*) 5.1. Date 5.2. Test 5.3. Result 5.4. Stamp and signature (official vet) Text of image 6. Treatments 6.1. Date 6.2. Treatment 6.3. Reason for treatment 6.4. Stamp and signature In sections 4, 5, and 6, more numbered pages in accordance with the models may be added. Text of image Notes for guidance (*) Tests have to be performed as follows: for animals belonging to the ovine or caprine species: yearly test for brucellosis with negative result to one of the tests described under Annex C to Council Directive 91/68/EEC for animals belonging to the bovine species (Bos Taurus, Bubalus bubalis and Bison bison): yearly test for brucellosis with negative result to one of the tests described under Annex C to Council Directive 64/432/EEC yearly test for TB with negative result to intradermal tuberculin test as described in Annex B to Council Directive 64/432/EEC for camelids: yearly test for brucellosis with negative result to one of the tests described under Annex I, part 4 to Council Decision 79/542/EEC yearly test for TB with negative result to intradermal tuberculin test as described in Annex I, part 4 to Council Decision 79/542/EEC Notes Text of image ADDENDUM 1 Date Stamp and signature of official veterinarian 1. Owner (to be completed only in the event of a change of ownership) 1.1. First name 1.2. Surname 1.3. Address 1.4. Post code 1.5. City 1.6. Country 1.7. Telephone number 1.8. GSM ( 1 ) 1.9. Fax ( 1 ) 1.10. E-mail ( 1 ) ( 1 ) Not mandatory. ADDENDUM 2 Date Stamp and signature of official veterinarian 1. Owner (to be completed only in the event of a change of ownership) 1.1. First name 1.2. Surname 1.3. Address 1.4. Post code 1.5. City 1.6. Country 1.7. Telephone number 1.8. GSM ( 1 ) 1.9. Fax ( 1 ) 1.10. E-mail ( 1 ) ( 1 ) Not mandatory. Sequence of the headings, numbering of pages and languages: 1. The sequence of the headings (including the numbers) of the model passport must be strictly followed. 2. Each page of the passport must be numbered at the bottom. The number of pages of the passport as issued must be indicated on page 1 in the following format: 1 out of [insert total number of pages]. 3. Headings must be given in the official language(s) of the Member State of issue and in English. 4. The size and the shape of the ‘boxes’ of the model passport are indicative and not binding.