ANNEX IVSupplementary provisions
ANNEX IV MODEL FORMS FOR ZOOTECHNICAL CERTIFICATES FOR ENTRY INTO THE UNION OF HYBRID BREEDING PIGS AND THEIR GERMINAL PRODUCTS SECTION A Zootechnical certificate for entry into the Union of hybrid breeding pigs Text of image Zootechnical certificate, in accordance with Regulation (EU) 2016/1012, for entry into the Union of hybrid breeding pigs (Sus scrofa) ( 1 ) (a logo of the issuing breeding body may be included) Certificate number ( 2 ) 1. Name of issuing breeding body (provide contact details and, where available, a reference to the website) 2. Name of breeding register 3. Name of breed ( 3 )/line ( 3 )/cross ( 3 ) of hybrid breeding pig 4. Sex of animal 5. Breeding register number of animal 6. Identification of animal ( 4 ) 7. Identity verification ( 2 ) ( 5 ) ( 6 ) 6.1. System 7.1. Method 6.2. Individual identification number 7.2. Result 6.3. Name ( 2 ) 8. Date (use format dd.mm.yyyy) and country of birth of animal 9. Name, address and email address ( 2 ) of breeder 10. Name, address and email address ( 2 ) of owner 11. The pedigree of the hybrid breeding pig ( 6 ) 11.1. Sire Breeding register number Breed ( 3 )/line ( 3 )/cross ( 3 ) Name ( 2 ) 11.1.1. Paternal Grandsire Breeding register number Breed ( 3 )/line ( 3 )/cross ( 3 ) Name ( 2 ) 11.1.2. Paternal Granddam Breeding register number Breed ( 3 )/line ( 3 )/cross ( 3 ) Name ( 2 ) Text of image 11.2. Dam Breeding register number Breed ( 3 )/line ( 3 )/cross ( 3 ) Name ( 2 ) 11.2.1. Maternal Grandsire Breeding register number Breed ( 3 )/line ( 3 )/cross ( 3 ) Name ( 2 ) 11.2.2. Maternal Granddam Breeding register number Breed ( 3 )/line ( 3 )/cross ( 3 ) Name ( 2 ) 12. Additional information ( 2 ) ( 6 ) ( 7 ) 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) 12.3. Genetic defects and genetic peculiarities of the animal in relation to the breeding programme 12.4. Other relevant information 13. Insemination ( 3 )/mating ( 3 ) ( 2 ) ( 8 ) 13.1. Date (use format dd.mm.yyyy) 13.2. Identification of the fertilising male 13.2.1. Individual identification number ( 4 ) 13.2.2. Name ( 2 ) 13.2.3. System of identity verification and result ( 5 ) 14. Name of breed society ( 3 )/breeding operation ( 3 )/competent authority ( 3 ) maintaining the breeding book ( 3 )/breeding register ( 3 ) in which the purebred breeding pig is intended to be entered ( 3 )/registered ( 3 ) (provide contact details and, where available, a reference to the website) ( 2 ) ( 9 ) 15.1. Done at: … (insert place of issue) 15.2. on: … (insert date of issue) 15.3. Name and capacity of the signatory: … (insert in capital letters name and capacity of the individual ( 10 ) signing the certificate) 15.4. Signature: … Text of image ( 1 ) A single zootechnical certificate may be issued for a group of hybrid breeding pigs provided that those hybrid breeding pigs have the same age and the same genetic dam and sire and that individual information is provided in points 4, 5, 6.2, 12 and, as appropriate, 13. ( 2 ) Keep empty if not applicable. ( 3 ) Delete where not applicable. ( 4 ) In accordance with the legislation on the identification and registration of animals of the country of dispatch. ( 5 ) This may be required in accordance with Article 22(2) of Regulation (EU) 2016/1012 for hybrid breeding pigs used for the collection of semen for artificial insemination or for the collection of oocytes and embryos by breeding operations maintaining the breeding register where the animal is to be registered. ( 6 ) If necessary attach additional sheets of paper. ( 7 ) 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. ( 8 ) Required in the case of pregnant females. Information may be indicated in a separate document. ( 9 ) Applicable only for purebred breeding pigs of different breeds or lines registered in a breeding register for hybrid breeding pigs. ( 10 ) 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. The zootechnical certificate shall be issued in at least one of the official languages of the country of dispatch and of the Member State of destination. The colour of the signature must be different from that of the printing. SECTION B Zootechnical certificate for entry into the Union of semen of hybrid breeding pigs Text of image Zootechnical certificate, in accordance with Regulation (EU) 2016/1012, for entry into the Union of semen of hybrid breeding pigs (Sus scrofa) (a logo of the issuing breeding body or semen collection or storage centre may be included) Certificate number ( 1 ) A. Information on the donor male hybrid breeding pig 1. Name of issuing breeding body/semen collection or storage centre (provide contact details and, where available, a reference to the website) 2. Name of breeding register 3. Name of breed ( 2 )/line ( 2 )/cross ( 2 ) 4. Breeding register number of donor male 5. Identification of donor male ( 3 ) 6. Identity verification ( 1 ) ( 4 ) ( 5 ) 5.1. System 6.1. Method 5.2. Individual identification number 6.2. Result 5.3. Name ( 1 ) 7. Date (use format dd.mm.yyyy) and country of birth of donor male 8. Name, address and email address ( 1 ) of breeder 9. Name, address and email address ( 1 ) of owner 10. The pedigree of donor male ( 5 ) 10.1. Sire Breeding register number Breed ( 2 )/line ( 2 )/cross ( 2 ) Name ( 1 ) 10.1.1. Paternal Grandsire Breeding register number Breed ( 2 )/line ( 2 )/cross ( 2 ) Name ( 1 ) 10.1.2. Paternal Granddam Breeding register number Breed ( 2 )/line ( 2 )/cross ( 2 ) Name ( 1 ) Text of image 10.2. Dam Breeding register number Breed ( 2 )/line ( 2 )/cross ( 2 ) Name ( 1 ) 10.2.1. Maternal Grandsire Breeding register number Breed ( 2 )/line ( 2 )/cross ( 2 ) Name ( 1 ) 10.2.2. Maternal Granddam Breeding register number Breed ( 2 )/line ( 2 )/cross ( 2 ) Name ( 1 ) 11. Additional information ( 1 ) ( 5 ) ( 6 ) 11.1. Results of performance testing 11.2. Up-to-date results of the genetic evaluation carried out last on … (insert date in format dd.mm.yyyy) 11.3. Genetic defects and genetic peculiarities of donor male in relation to the breeding programme 11.4. Other relevant information B. Information on semen 13. Identification of semen Colour of straws or other packages Code on straws or other packages Number of straws or other packages ( 7 ) Place of collection Date of collection (dd.mm.yyyy) Others ( 1 ) ( 8 ) 14. Semen collection or storage centre of dispatch 14.1. Name 14.2. Address 14.3. Approval number 15. Name and address of consignee 16. Name and address of the breeding operation ( 2 ), or the third party ( 2 ) designated by that breeding operation, responsible for carrying out testing ( 1 ) ( 9 ) 17.1. Done at : … (insert place of issue) 17.2. on: … (insert date of issue) 17.3. Name and capacity of the signatory: … (insert in capital letters name and capacity of the individual ( 10 ) signing the certificate) 17.4. Signature: … Text of image ( 1 ) Keep empty if not applicable. ( 2 ) Delete where not applicable. ( 3 ) In accordance with the legislation on the identification and registration of animals of the country of dispatch. ( 4 ) This may be required in accordance with Article 22(2) of Regulation (EU) 2016/1012 for hybrid breeding pigs used for the collection of semen for artificial insemination by breeding operations maintaining the breeding register where the offspring of the donor animal is to be registered. ( 5 ) If necessary attach additional sheets of paper. ( 6 ) 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. ( 7 ) A straw or another package shall contain only semen collected from one hybrid breeding pig. ( 8 ) Where applicable, information on sexed semen may be provided. ( 9 ) For semen intended for performance testing or genetic evaluation of hybrid breeding pigs which have not undergone such testing or evaluation, in accordance with the quantity limits referred to in Article 24(1)(d) of Regulation (EU) 2016/1012. ( 10 ) 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 a semen collection or storage centre acting on behalf of the breeding body in accordance with Article 33(1) of that Regulation, who is authorised to sign the zootechnical certificate. The zootechnical certificate shall be issued in at least one of the official languages of the country of dispatch and of the Member State of destination. The colour of the signature must be different from that of the printing. SECTION C Zootechnical certificate for entry into the Union of oocytes of hybrid breeding pigs Text of image Zootechnical certificate, in accordance with Regulation (EU) 2016/1012, for entry into the Union of oocytes of hybrid breeding pigs (Sus scrofa) (a logo of the issuing breeding body or embryo production team may be included) Certificate number ( 1 ) A. Information on the female donor hybrid breeding pig 1. Name of issuing breeding body/embryo production team (provide contact details and, where available, a reference to the website) 2. Name of breeding register 3. Name of breed ( 2 )/line( 2 )/cross( 2 ) 4. Breeding register number of donor female 5. Identification of donor female ( 3 ) 6. Identity verification ( 1 ) ( 4 ) ( 5 ) 5.1. System 6.1. Method 5.2. Individual identification number 6.2. Result 5.3. Name ( 1 ) 7. Date (use format dd.mm.yyyy) and country of birth of donor female 8. Name, address and email address ( 1 ) of breeder 9. Name, address and email address ( 1 ) of owner 10. The pedigree of donor female ( 5 ) 10.1. Sire Breeding register number Breed ( 2 )/line( 2 )/cross( 2 ) Name ( 1 ) 10.1.1. Paternal Grandsire Breeding register number Breed ( 2 )/line( 2 )/cross( 2 ) Name ( 1 ) 10.1.2. Paternal Granddam Breeding register number Breed ( 2 )/line( 2 )/cross( 2 ) Name ( 1 ) Text of image 10.2 Dam Breeding register number Breed ( 2 )/line( 2 )/cross( 2 ) Name ( 1 ) 10.2.1. Maternal Grandsire Breeding register number Breed ( 2 )/line( 2 )/cross( 2 ) Name ( 1 ) 10.2.2. Maternal Granddam Breeding register number Breed ( 2 )/line( 2 )/cross( 2 ) Name ( 1 ) 11. Additional information ( 1 ) ( 5 ) ( 6 ) 11.1. 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) 12.3. Genetic defects and genetic peculiarities of donor female in relation to the breeding programme 12.4. Other relevant information B. Information on oocytes 13. Identification of oocytes Colour of straws or other packages Code on straws or other packages Number of straws or other packages Number of oocytes ( 7 ) Place of collection Date of collection (dd.mm.yyyy) Others ( 1 ) 14. Embryo collection or production team of dispatch 14.1. Name 14.2. Address 14.3. Approval number 15. Name and address of consignee 16.1. Done at: … (insert place of issue) 16.2. on: … (insert date of issue) 16.3. Name and capacity of the signatory: … (insert in capital letters name and capacity of the individual ( 8 ) signing the certificate) 16.4. Signature: … Text of image ( 1 ) Keep empty if not applicable. ( 2 ) Delete where not applicable. ( 3 ) In accordance with the legislation on the identification and registration of animals of the country of dispatch. ( 4 ) This may be required in accordance with Article 22(2) of Regulation (EU) 2016/1012 for hybrid breeding pigs used for the collection of oocytes by breeding operations maintaining the breeding register where the offspring of the donor animal is to be registered. ( 5 ) If necessary attach additional sheets of paper. ( 6 ) 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. ( 7 ) 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 hybrid breeding pig. ( 8 ) 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. The zootechnical certificate shall be issued in at least one of the official languages of the country of dispatch and of the Member State of destination. The colour of the signature must be different from that of the printing. SECTION D Zootechnical certificate for entry into the Union of embryos of hybrid breeding pigs Text of image Zootechnical certificate, in accordance with Regulation (EU) 2016/1012, for entry into the Union of embryos of hybrid breeding pigs (Sus scrofa) (a logo of the issuing breeding body or embryo collection or production team may be included) Certificate number ( 1 ) A. Information on the female donor hybrid breeding pig 1. Name of issuing breeding body/embryo collection or production team (provide contact details and, where available, a reference to the website) 2. Name of breeding register 3. Name of breed ( 2 )/line ( 2 )/cross ( 2 ) 4. Breeding register number of donor female 5. Identification of donor female ( 3 ) 6. Identity verification ( 1 ) ( 4 ) ( 5 ) 5.1. System 6.1. Method 5.2. Individual identification number 6.2. Result 5.3. Name ( 1 ) 7. Date (use format dd.mm.yyyy) and country of birth of donor female 8. Name, address and email address ( 1 ) of breeder 9. Name, address and email address ( 1 ) of owner 10. The pedigree of donor female ( 5 ) 10.1. Sire Breeding register number Breed ( 2 )/line( 2 )/cross( 2 ) Name ( 1 ) 10.1.1. Paternal Grandsire Breeding register number Breed ( 2 )/line( 2 )/cross( 2 ) Name ( 1 ) 10.1.2. Paternal Granddam Breeding register number Breed ( 2 )/line( 2 )/cross( 2 ) Name ( 1 ) Text of image 10.2. Dam Breeding register number Breed ( 2 )/line( 2 )/cross( 2 ) Name ( 1 ) 10.2.1. Maternal Grandsire Breeding register number Breed ( 2 )/line( 2 )/cross( 2 ) Name ( 1 ) 10.2.2. Maternal Granddam Breeding register number Breed ( 2 )/line( 2 )/cross( 2 ) Name ( 1 ) 12. Additional information ( 1 ) ( 6 ) ( 7 ) 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) 12.3. Genetic defects and genetic peculiarities of donor female in relation to the breeding programme 12.4. Other relevant information B. Information on the donor male hybrid breeding pig 13. Name of issuing breeding body (provide contact details and, where available, a reference to the website) 14. Name of breeding register 15. Name of breed ( 2 )/line ( 2 )/cross ( 2 ) 16. Breeding register number of donor male 17. Identification of donor male ( 3 ) 18. Identity verification ( 1 ) ( 4 ) ( 5 ) 17.1. System 18.1. Method 17.2. Individual identification number 18.2. Result 17.3. Name ( 1 ) 19. Date (use format dd.mm.yyyy) and country of birth of donor male 20. Name, address and email address ( 1 ) of breeder 21. Name, address and email address ( 1 ) of owner 22. The pedigree of donor female ( 5 ) 22.1. Sire Breeding register number Breed ( 2 )/line( 2 )/cross( 2 ) Name ( 1 ) 22.1.1. Paternal Grandsire Breeding register number Breed ( 2 )/line( 2 )/cross( 2 ) Name ( 1 ) 22.1.2. Paternal Granddam Breeding register number Breed ( 2 )/line( 2 )/cross( 2 ) Name ( 1 ) Text of image 22.2. Dam Breeding register number Breed ( 2 )/line( 2 )/cross( 2 ) Name ( 1 ) 22.2.1. Maternal Grandsire Breeding register number Breed ( 2 )/line( 2 )/cross( 2 ) Name ( 1 ) 22.2.2. Maternal Granddam Breeding register number Breed ( 2 )/line( 2 )/cross( 2 ) Name ( 1 ) 23. Additional information ( 1 ) ( 5 ) ( 6 ) 23.1. Results of performance testing 23.2. Up-to-date results of the genetic evaluation carried out last on … (insert date in format dd.mm.yyyy) 23.3. Genetic defects and genetic peculiarities of donor male in relation to the breeding programme 23.4. Other relevant information C. Information on embryos 24. Identification of embryos Colour of straws or other packages Code on straws or other packages Number of straws or other packages Number of embryos ( 7 ) Place of collection or production Date of collection or production (dd.mm.yyyy) Others ( 1 ) ( 8 ) 25. Embryo collection or production team of dispatch 25.1. Name 25.2. Address 25.3. Approval number 26. Name and address of consignee Text of image D. Information on surrogate recipient of embryo(s) 27. Individual identification number ( 3 ) of surrogate recipient ( 1 ) 28.1. Done at: … (insert place of issue) 28.2. on: … (insert date of issue) 28.3. Name and capacity of the signatory: … (insert in capital letters name and capacity of the individual ( 9 ) signing the certificate) 28.4. Signature: … ( 1 ) Keep empty if not applicable. ( 2 ) Delete where not applicable. ( 3 ) In accordance with the legislation on the identification and registration of animals of the country of dispatch. ( 4 ) This may be required in accordance with Article 22(2) of Regulation (EU) 2016/1012 for hybrid breeding pigs used for the collection of embryos by breeding operations maintaining the breeding register where the offspring obtained from those embryos is to be registered. ( 5 ) If necessary attach additional sheets of paper. ( 6 ) 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. ( 7 ) Where there is more than one embryo in a straw or another package, a clear indication of the number of embryos is required. A straw or another package shall contain only embryos that have the same parentage. ( 8 ) Where applicable, information on sexed embryos may be provided. ( 9 ) 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 collection or 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. The zootechnical certificate shall be issued in at least one of the official languages of the country of dispatch and of the Member State of destination. The colour of the signature must be different from that of the printing.