If any question of interpretation or doubt arises in relation to these rules, the matter shall be referred to the Animal Husbandry Commissioner, Department of Animal Husbandry, Dairying and Fisheries, Government of India, for decision.
FORM A
Department of Animal Husbandry
Government of ……………………………….
VACCINATION CERTIFICATE FOR ANIMALS OTHER THAN POULTRY
Valid from (date of vaccination) to (date till valid)
This is to certify that the animal of the following description has been vaccinated against (name of the disease or diseases) on (date of vaccination) by using a vaccine the details of which are given below :-
Description of The Animal
Species (name of the species)" Sex (male/female)
Identification details (ear-tag number/tattoo or other form of markings)
Name of the owner (full name of the owner of the animal)
Address of the owner (full address of the animal owner)
Owner's contact Phone number
Details of Vaccination
Name of the vaccine (vaccine, name) Vaccine production date (date of production of the used vaccine batch)
Type of vaccine (live, inactivated, adjuvant type) Vaccine expiry date (expiry date of the vaccinc batch used)
Vaccine batch No. (batch no. of the vaccine) Vaccinated by (name of the agency)
Name of the manufacturer (vaccine manufacturer's name) Vaccinated by (name of the vaccinator)
Vaccination Certificate Issue Details
Date of issue
Place of issue
Signature
Name and designation
Registration number with State Veterinary Council/Veterinary Council of India
Valid from (date of vaccination) to (date till valid)
This is to certify that the Poultry of the following description have been vaccinated against (name of the disease or diseases) on (date of vaccination) by using a vaccine the details of which are given below:-
Details of Vaccinated Poultry
Poultry species (chicken, duck, quail etc.) Poultry type (Day Old Chicks, layers, broilers, breeder etc.)
No. of birds vaccinated (number immunized) Marking details for identification of vaccination (painting, wing/leg band etc.)
Name of the owner (full name of the owner of the animal)
Address of the owner (full address of the animal owner)