| …authority must endorse the certificate)First name:Surname:Address:Signature, date and stamp:Postcode:City:Country:Telephone:(*) Delete as applicableEndorsement by the competent authority (not necessary when the certificate is signed by an official veterinarian)Date and stamp:VI. |
…und Bezeichnung des Präparats/Manufacturer and name of product:Datum und Uhrzeit der Behandlung (TT/MM/JJJJ + Uhrzeit — 24 h)/Date and time of treatment (dd/mm/yyyy + 24-hour clock):Name des Tierarztes/Name of veterinarian: |