bovine species (Bos taurus, Bos indicus, Bubalus bubalis)  (1)

(b)

porcine species (Sus scrofa)  (1)  (2)

(c)

ovine species (Ovis aries)  (1)

(d)

caprine species (Capra hircus)  (1)

1.

Name of issuing breed society/competent authority (provide contact details and, where available, a reference to the website)

2.

Name of breeding book

3.

Name of breed of purebred breeding animal

4.

Class within the main section of the breeding book where animal is entered (3)

5.

Sex of animal

6.

Breeding book number of animal

7.

Identification of purebred breeding animal (4)

7.1.

System

7.2.

Individual identification number

7.3.

Animal health identification number (5)

7.4.

Name (3)

8.

Identity verification (3)  (6)  (7)

8.1.

Method

8.2.

Result

9.

Date (use format dd.mm.yyyy or ISO 8601)  (8) and country of birth of animal

10.

Name, address and email address (3) of breeder

11.

Name, address and email address (3) of owner

12.

The pedigree of the purebred breeding animal (7)  (9)

12.1.

Sire
Breeding book number and section
Individual identification number (4)  (10)
Animal health identification number (5)
Name (3)

12.1.1.

Paternal Grandsire
Breeding book number and section
Individual identification number (4)  (10)
Animal health identification number (5)
Name (3)

12.1.2.

Paternal Granddam
Breeding book number and section
Individual identification number (4)  (10)
Animal health identification number (5)
Name (3)

12.2.

Dam
Breeding book number and section
Individual identification number (4)  (10)
Animal health identification number (5)
Name (3)

12.2.1.

Maternal Grandsire
Breeding book number and section
Individual identification number (4)  (10)
Animal health identification number (5)
Name (3)

12.2.2.

Maternal Granddam
Breeding book number and section
Individual identification number (4)  (10)
Animal health identification number (5)
Name (3)

13.

Additional information (3)  (7)  (11)

13.1.

Results of performance testing

13.2.

Up-to-date results of the genetic evaluation carried out last on …(insert date in format dd.mm.yyyy or ISO 8601)

13.3.

Genetic defects and genetic peculiarities of the animal in relation to the breeding programme

13.4.

Other relevant information on purebred breeding animal

13.5.

Other relevant information, including results of performance testing or genetic evaluation, on parents and grandparents, if not indicated in point 12

14.

Insemination (1)/mating (1)  (3)  (12)

14.1.

Date (insert date in format dd.mm.yyyy or ISO 8601, or indicate in the same date format the mating period from …. to …)

14.2.

Identification of the fertilising male(s)

14.2.1.

Breeding book number(s) and section(s)

14.2.2.

Individual identification number(s) (4)  (10)

14.2.3.

Animal health identification number(s) (5)

14.2.4.

Name(s) (3)

14.2.5.

System(s) of identity verification and result(s) (6)

15.

Validation

15.1.

Done at : …

15.2.

on: …

15.3.

Name and capacity of the signatory: …

15.4.

Signature: …