Scheda Identificazione cavallo 2015_ita_ing.indd
Transcript
Scheda Identificazione cavallo 2015_ita_ing.indd
Scheda di Identificazione del cavallo Horse Identification card Nome del cavallo / Name of horse: _____________________ Razza / Breed: ______________________________ Sesso / Sex: _______ Mantello / Coat: _____________ Paese di origine / Country of origin: ________________ Anno di nascita / Birth date: ____________ Figlio di / Father: ___________________________________________ e di / Mother: _________________________________ altezza al garrese / Height at withers:__________________ Segni particolari / Identifying marks: ________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ Nome del proprietario / Name of Owner: ____________________________________________________________ residente a / Resident in: __________________________________________________________________________ _________________________________________________________________________________________________ Il suddetto cavallo è stato importato in Italia nel mese di / The aforesaid horse was brougth into Italy in the month of: _________________________________________________________________________________________________ dell’anno / of the year: __________ ed è attualmente in località / and is presently being kept at: _____________ _________________________________________________________________________________________________ IL PROPRIETARIO / OWNER Firma / Signature: _____________________________________ Indirizzo e recapito telefonico / Address and telephone number: _______________________________________ _________________________________________________________________________________________________ Il sottoscritto medico Veterinario dichiara corrispondenti i dati relativi al sesso, mantello, età, altezza e segni particolari del suddetto cavallo / The undersigned Veterinarian attests to the information stated above concerning sex, coat, age, height and identifying marks of the aforesaid horse. Firma e timbro / Signature and stamp: _____________________________ Viale del Lavoro, 8 - I - 37135 Verona - ITALIA - Tel. +39 045 829 8111 - Fax +39 045 829 8288 - www.veronafiere.it - [email protected] R.E.A. 74722 - R.I. 00233750231 - Cod. Fisc. 00233750231 - Part. IVA IT 00233750231