Civil Aviation Act, 2009
R 385
Agricultural Produce Agents Act, 1992 (Act No. 12 of 1992)Board NoticesBiosecurity Rules for Livestock AgentsAddendum A : Health Declaration for Animals going on Auction |
ADDENDUM A
HEALTH DECLARATION FOR ANIMALS GOING ON AUCTION:
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ANIMAL OWNER
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LIVESTOCK INFO |
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NAME
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BREED |
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FARM NAME
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ID NO. |
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POST ADDRESS
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DISTRICT
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TEL
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FAX
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STATE VET
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PRIVATE VET |
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NAME
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NAME |
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TOWN
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TOWN |
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PROVINCE
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PROVINCE |
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POSTAL ADDRESS
|
POSTAL ADDRESS |
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TEL
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TEL |
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FAX
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FAX |
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WE REQUIRE HEALTH INFO TO THE BEST OF YOUR KNOWLEDGE.
To accept animals at the auction pens we need info on the health status of the animals and the farm of origin.
The Vet at the auction facility need correct info and that is why this health attestation is important.
The info can be of your personal work, from the local state vet, private vet, or district animal health technicians.
| 1. | We need to know if any of the diseases was diagnosed on the farm of origin in the last year. If you do not know please mark "?" otherwise YES or NO. |
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1.1 |
Brucellosis (CA) |
YES |
NO |
? |
|
1.2 |
Tuberculosis (TB) |
YES |
NO |
? |
|
1.3 |
Paratuberculosis |
YES |
NO |
? |
|
1.4 |
Infectious Bovine Rhinotracheitis |
YES |
NO |
? |
|
1.5 |
Leptospirosis |
YES |
NO |
? |
|
1.6 |
Bluetongue |
YES |
NO |
? |
|
1.7 |
Trichomonas foetus |
YES |
NO |
? |
|
1.8 |
Campylobacter foetus |
YES |
NO |
? |
|
1.9 |
Enzootic bovine Leucosis |
YES |
NO |
? |
|
1.10 |
Rabies |
YES |
NO |
? |
|
1.11 |
Lumpy skin disease |
YES |
NO |
? |
|
1.12 |
Rift Valley fever |
YES |
NO |
? |
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1.13 |
Bovine Viral Diarrhea (B.V.D.) |
YES |
NO |
? |
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1.14 |
Foot and Mouth disease |
YES |
NO |
? |
|
1.15 |
Other |
YES |
NO |
? |
| 2. | Was animals vaccinated against the following diseases. If YES, give the date of vaccination. |
|
2.1 |
Lumpy skin |
YES |
NO |
? |
Date: _______________ |
|
2.2 |
Rift valley |
YES |
NO |
? |
Date: _______________ |
|
2.3 |
Rabies |
YES |
NO |
? |
Date: _______________ |
|
2.4 |
Brucellosis (CA) |
YES |
NO |
? |
Date: _______________ |
|
2.5 |
B.V.D. |
YES |
NO |
? |
Date: _______________ |
|
2.6 |
Bluetongue |
YES |
NO |
? |
Date: _______________ |
|
2.7 |
Foot and Mouth Disease |
YES |
NO |
? |
Date: _______________ |
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2.8 |
I.B.R. |
YES |
NO |
? |
Date: _______________ |
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2.9 |
Other: Black quarter, Bohtax, Anthrax, etc. |
YES |
NO |
? |
Date: _______________ |
| 3. | Was any samples tested at a lab for: |
|
3.1 |
Brucellosis (CA) |
YES |
NO |
? |
Date: _______________ |
|
3.2 |
Tuberculosis (TB) |
YES |
NO |
? |
Date: _______________ |
|
3.3 |
Sheath washes - Trichomonas - Campylobacter |
YES YES |
NO NO |
? |
Date: _______________ |
|
3.4 |
B.V.D. |
YES |
NO |
? |
Date: _______________ |
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3.5 |
I.B.R. |
YES |
NO |
? |
Date: _______________ |
|
3.6 |
Leukosis |
YES |
NO |
? |
Date: _______________ |
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3.7 |
Other |
YES |
NO |
? |
Date: _______________ |
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3.8 |
If available attach the lab results. |
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| 4. | Since when were animals kept on farm of origin _________________________________ |
5. When last were any new animals introduced on farm of origin______________________
6. Is the farm correctly under quarantine:
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If YES, explain |
YES |
NO |
? |
___________________________________________________________________________________
___________________________________________________________________________________
Hereby I, ____________________________________________, as the state vet / herd veterinarian / animal health technician, declare that I examined the above mentioned animals and that the animals were clinically healthy and clinically free from any communicable disease
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________________________________________ |
____________________ |
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STATE VET / PRIVATE VET - SIGNATURE |
DATE |
Hereby I, ____________________________________________, as the owner / representative of the owner, declare that I examined the above mentioned animals and that the animals were clinically healthy and clinically free from any communicable disease.
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________________________________________ |
____________________ |
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OWNER / REPRESENTATIVE |
DATE |
For Office use
Hereby I, ____________________________________________, as the auction vet, declare that I examined _____________ animals of the above mentioned owner and that the animals were clinically healthy and clinically free from any communicable disease.
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________________________________________ |
____________________ |
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AUCTION VET / SIGNATURE |
DATE |
________________________
Date of Auction
