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Government of [State Name]

Department of Animal Husbandry

Animal Transportation Certificate

Certificate No.: ___________

Date: ___________

1. Applicant Details:

Name of the Owner/Transporter: ______________________

Address: ___________________________________________

Contact Number: _____________________________________

2. Details of Animals to be Transported:

Species: ___________________________________________

Breed: _____________________________________________

Number of Animals: _________________________________

Identification Marks (if any): _________________________

Purpose of Transport: ________________________________

3. Transport Details:

Mode of Transport: _________________________________

Vehicle Registration Number: _________________________

Starting Point: _____________________________________

Destination: _______________________________________

Date and Time of Departure: _________________________

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Government of [State Name]

Department of Animal Husbandry

Animal Transportation Certificate

Estimated Date and Time of Arrival: __________________

4. Health Status of Animals:

I hereby certify that I have examined the above-mentioned animals on (date) ___________ at

(place) ___________ and found them to be free from any infectious or contagious diseases and fit

for transportation.

Date of Examination: ________________________________

Place of Examination: ________________________________

5. Veterinary Surgeon Details:

Name: ____________________________________________

Designation: _______________________________________

Registration Number: ________________________________

Contact Number: ___________________________________

Signature: _________________________________________

6. Transport Schedule:

Intermediate Stops: __________________________________

Feeding Schedule: ___________________________________

Watering Schedule: __________________________________

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Government of [State Name]

Department of Animal Husbandry

Animal Transportation Certificate

Resting Schedule: ___________________________________

7. Remarks (if any):

_____________________________________________________

Seal of the Office

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