MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_01CAC680.659A3940" Ce document est une page Web à fichier unique, ou fichier archive Web. Si ce message est affiché, votre navigateur ou votre éditeur ne prend pas en charge les fichiers archives Web. Téléchargez un navigateur qui prend en charge les archives Web, par exemple Microsoft Internet Explorer. ------=_NextPart_01CAC680.659A3940 Content-Location: file:///C:/24F9C639/DocumentImmatriculation2009.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Groupement Hippique de l'Ouest Asbl

 

 

 

 

 

 

 

 

 

Group= ement Hippique de l'Ouest Asbl=

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DOCUMENT D’ENREGI= STREMENT D’UN CHEVAL OU D’UN PONEY

 

 

 

Année 2010<= /o:p>

 

 

 

 <= /span>

Nom

 

N°

 2010 GHO= - - - - - - 

=3D n° base de données FRBSE

L’enregistre= ment annuel de toute monture participant à des concours G.H.O. est exigée dès que l’immatriculation F.R.B.S.E. n’est pas obligatoire.

 

 
PHOTO si possible

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Identif= ication régionale GHO.

 

Fiche de renseigneme= nts pour cheval non – immatriculé à la FRBSE.

Ce document n’= est pas valable pour les chevaux qui doivent être immatriculés à vie.

Propri&= eacute;taire ou Déclarant

 

 

 

 

 

 

 

N° de licence LEWB :

 

 <= /o:p>

 <= /o:p>

 <= /o:p>

 <= /o:p>

Nom : …………………………= 230;………………………

Prénom = ;: …………………………= 230;……………

 <= /span>

Rue : …………………………= 230;………………. …………………………= 230;………………………….=

N° : …………

Boîte : ……………

 <= /span>

 <= /span>

C P : ………………..

Ville …= …………………………̷= 0;…………………………= 230;……………….

 <= /span>

T&eac= ute;l : …………………………= 230;…  Fax : …………………………= 230;…  GSM : ………………………

 <= /span>

Cheval = ou Poney

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nom :

 

 

 

 

 

 

 

Année de Naissance :  <= /span>

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

N° Microchip :

 

Studboo= k : …………………………̷= 0;……….. Joindre copie des papiers.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

N° de studbook :

 

 

 

 

Signal&= eacute;tique pour identification régionale.

 

Taille : Cheval= ou Poney *      biffer la mention inutile

 

* pour déclar= er « poney » (max 1m49 ferré) , vous devez joindre = une copie de  certificat de mesura= ge (toisage) valable. (de l’année ou le dernier mesurage obligatoire soit celui des 8 an= s).

 

SEXE*:=

1- ETALON

 =

 =

2- JUMENT

 =

3- HONGRE

 =

 =

 

 =

 =

 

 =

 

 =

ROBE*:=

11- BLANC

 =

 =

14- NOIR

 =

13- ALEZAN

 =

 =

 

 =

 =

 

 =

 

 =

 =

21-BAI

 =

 =

23- GRIS

 =

22- ISABELLE

 =

 =

 

 =

 =

 

 =

 

 =

 =

24- AUBERE

 =

 =

25- LOUVET

 =

42- PALOMINO

 =

 =

 

 =

 =

 

 =

 

 =

 =

41- PIE

 =

 =

31- ROUAN

 =

43- APPALOOSA

 =

 =

 

 =

 =

 

 =

 

 =

 =

44- DIVERS

 =

 =

12- CAFE AU LAIT

 =

 

 =

 =

 

 =

 =

 

 =

 

 =

TETE*:=

0- sans marque

 =

 =

1- ETOILE

 =

2- FINE LISTE

 =

 =

 

 =

 =

 

 =

 

 =

 =

4- LARGE LISTE

 =

 =

3- LISTE

 =

5- LADRE

 =

 =

 

 =

 =

 =

 =

 =

 =

 =

9- DIVERS

 =

 =

 =

 =

 =

 =

 

 

BALZANES* :

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 =

 

* =3D mentions obligatoires.

 

Signa= ture du Déclarant

Date :

_ _ /_ _ / 20_ _

Signature pour GHO=

 

 

 

 

 

 

 

 
VACCINATION= S

 

 

 

Gripp= e  Tétanos=

Rhinopneu= monie

 

 

 

 

OBLIG= ATOIRE

VIVEM= ENT CONSEILLEE

Peut être exigée = par

certains organisateurs<= /p>

 (voir avant-= programmes)

 

 

 

Signature du contrôleur :

Date :

Date :

Signature du contrôleur :

2008

 

 

 

 

 

 

2009

 

 

 

 

 

 

2010

 

 

 

 

 

 

2011

 

 

 

 

 

 

2012

 

 

 

 

 

 

2013

 

 

 

 

 

 

2014

 

 

 

 

 

 

2015

 

 

 

 

 

 

2016

 

 

 

 

 

 

2017

 

 

 

 

 

 

 

 

 

 

 

Le carnet sanitaire / vétérinaire du cheval / poney doit être contrôl= able sur tout terrain de concours.

Ne l’oubliez pas !

 <= /span>

 

 

 

 

 

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