N.B. All pages must be endorsed with  the certifying official veterinarian's initials and official stamp using a  different colour ink to the paper and print.  
 (Version: Sep 2020) 
* Delete as appropriate  Page 1 of 8 EXPORT CERTIFICATE  
for Horses Permanent ly Import ed into  
Hong Kong Special Administrative Region  (HKSAR) of People ’s Rep ublic of China  
- All the pages must be completed in English (1) and must travel with the horse.  
Please tick the appropriate box to indicate the option chosen.  
 
Special  Permit No.: _______________________  Export Permit No. (if applicable):_______________________  
(issued by the  Government  of HKSAR ) (issued  by _______________________________ Government)  
A Special Permit to import the horse must be obtained before export .  
For details see : 
www.afcd.gov.hk/english/quarantine/qua_ie/qua_ie_ipab/qua_ie_ipab_ihea/qua_ie_ipab_ihea.html  
 
SECTION I  IDENTIFICATION  
This information can be contained in a separate schedule  or further rows can be added as required.  Horses must be 
on the same flight and from the same PEQ.  
 
Name  Colour  Sex
  Age Breed  Microchip 
number 
and/or 
tattoo*  Passport 
Number* Issuing/Validating 
Authority*  
        
        
        
        
 
Either a n identification silhouette o r a valid identification document accompanies this horse.  
 
SECTION II  ORIGIN , TRANSPORT AND DESTINATION   
(a) Exporting country /region(2):  ____________________________________________________________________  
Competent Authority(3):  ________________________________________________________________________  
(b) Name and address of  consignor(4): _________________________________________________________________   
 ____________________________________________________________________________________________  
(c) Address of Pre -export Quarantine p remises:  _________________________________________________________  
 ____________________________________________________________________________________________   
(d) Address of premises  of origin before entry to Pre -export Quarantine : _____________________________________  
 ____________________________________________________________________________________________  
(e) By AIR/RAIL/ROAD/SEA *:  ___________________________________________________________________  
    Indicate flight number, registration marks or  registered name as appropriate 
(f) Name and address of c onsignee:  _________________________________________________________________   
 ____________________________________________________________________________________________  
 
 
 
  
N.B. All pages must be endorsed with  the certifying official veterinarian's initials and official stamp using a  different colour ink to the paper and print.  
 (Version: Sep 2020) 
* Delete as appropriate  Page 2 of 8  
 
SECTION III  HEALTH INFORMATION  
I, _________________________________, an Official Veterinary Officer authorised by the competent veterinary authority(3) 
of the exporting country/ region to certify horses for export, hereby declare that:  
(a) I have examined the horse identified in this certifi cate within 24 hours prior to export and found it to be free from 
clinical signs of infectious or contagious disease , free from  external parasites and fit to travel.   
(b) The horse has been isolated for at least *21/40(5) days on the premises of II(c), which is an Official Government 
approved pre -export  quarantine (PEQ) facility and  was supervised by a full -time Government salaried veterinary 
surgeon or by a veterinary surgeon accredited by the Government . 
Date of entry in to premises of II(c): _________________________________________  
(c) If the horse has, in the last 6 months, been in any country where African horse sickness has occurred in the 
last 2 years, then the horse was quarantine d for a minimum of 40 days in Culicoides  proof facilities prior to 
export from that country /region . 
(d) Residency:  
 The horse has been continuously resident in the country/region of export  for at least 60 days prior to the date of 
export.  
OR 
 The horse has been continuously resident in members of the Tripartite Agreement (UK, France and the Republic 
of Ireland) for at least 60 days prior to the date of export and a duly completed Annex I for UK/ France/Republic 
of Ireland  is attached to this document .  
OR 
 The horse has been in combined residency  in Aus tralia and New Zealand for at least 60 days prior to the date of 
export and a duly completed Annex I  for Australia or New Zealand is attached to this document.  
OR 
 The horse has been resident in Singapore,  or the United Kingdom , or another country approved by the  
Government of HKSAR ( the approval documentation is attached ) for at least 30 days since importation from 
South Africa and a duly completed Annex I for South Africa attached to this document.  
(e) The exporting country/ region has either been African Horse Sickness (AHS) free for the last two years and vaccination 
against AHS has not been practiced for the last 12 months, or it ha s an officially recognised AHS Free Zone(6). AHS 
is a notif iable disease in the exporting country /region. The horse has not been on any premises where AHS has occurred 
in the past 60 days and the horse has not been infected with AHS in the past 60 days . 
(f) In the last 60 days the exporting country/ region has been free from  Venezuelan equine encephalomyelitis  and glanders  
for the  last two years  and the horse has not been vaccinat ed against Venezuelan equine encephalomyelitis  in the past 
60 days . 
(g) The horse s have not been on any premises where the diseases listed below occurred in the 60 days prior to export, nor 
have  the horses been infected with the diseases listed below during the 60 days  prior to export . The diseases listed 
below have not occurred  on the PEQ in the last 60 days.  
 
Anthrax**  Equine influenza  Scabies   
Contagious equine metritis**  Equine piroplasmosis   St. Louis encephalitis  
Dourine**  Equine viral arteritis   Strangles (Streptococcus equi)  
Eastern equine encephalomyelitis**  Glanders**  Surra   
Epizootic lymphangitis  Hendra virus infection  Venezuelan equine encephalomyelitis**  
Equine ehrlichiosis  Horse mange   Vesicular stomatitis**   
N.B. All pages must be endorsed with  the certifying official veterinarian's initials and official stamp using a  different colour ink to the paper and print.  
 (Version: Sep 2020) 
* Delete as appropriate  Page 3 of 8 Equine encephalosis  Horse pox   Western equine encephalomyelitis**  
Equine herpes virus ( abortigenic and 
neurotropic ) infection  Japanese encephalitis    
Equine infectious anaemia**  Nipah virus infection   
The diseases with a double asterisk (* *) listed above  are compul sorily notifiable in the export ing country/ region.  
SECTION IV  HORSES FROM THE AFRICAN HORSE SICKNESS (AHS) FREE ZONE IN THE REPUBLIC OF 
SOUTH AFRICA (RSA)(6) (This section is only applicable to horses directly imported from the 
Republic of South Africa. Strike out the whole section if not applicable.)  
(a) The horse has been continuously resident for at least 60 days in the AHS Free Zone in RSA  immediately prior to 
export from RSA.  
(b) The horse has undergone pr e-export isolation for a minimum of 40 days at a pre -export quarantine facility approved 
by the RSA Veterinary Administration that has  Culicoides  proof s tables . 
(c) The horse was confined to the  Culicoides  proof stables  from 2 hours prior to sunset until 2 hou rs after sunrise.  
(d) The horse, prior to removal from the s tables , was treated with an insect repellent  effective against Culicoides  approved 
by the RSA V eterinary Administration . 
(e) The horse has not been vaccinated against AHS within 60 days of export.  
(f) A completed Annex 2 accompanies this export certificate.  
RSA is currently suspended from transporting horses directly to Hong Kong.  
SECTION V  TESTING AND V ACCINATION (7&8)   
(a) Whilst the horse is in PEQ  blood samples were taken from the horse at least 7 days after entry into PEQ ( excluding 
EVA , EI, and VS ) and subjected to the following tests with negative  results (unless otherwise stated) in each case(8).  
(b) No vaccines have been administered  to the horse within 14 days prior to export to Hong Kong.  
(c) The original or certified copies of all laboratory tests and vaccination certificates (if vaccinations are recorded in the 
horse ’s passport a certified copy of the relevant pages of the passport is still required ) must be attached  to this 
certificate  (10). 
(d) All sections must be completed by inserting a tick   in the appropriate box.  
 
i. African horse 
sickness   The horse has not, during the last 60 days , been in any country /region  in which AHS has been 
reported in the last 2 years and in which vaccination against AHS has been practiced in the last 
12 months.  
OR 
 The horse has been resident in Singapore, or the United Kingdom, or another country approved 
by the Government of HKSAR an d the approval documentation is attached, for at least 30 days 
since importation from South Africa and was tested for African horse sickness (AHS) prior to 
export from South Africa  (these test results do not have to be attached to this documentation) . 
OR 
 The horse was exported directly from an AHS infected country from within the official AHS  
free zone of a country, and an antigen enzyme -linked immunosorbent assay ( ELISA ) test has 
been carried out on two samples of blood taken with an interval of between 21 and 30 days on 
___________________(9) and ___________________(9), the second of which must be taken 
within 14 days of export either with negative re sult if it has not been vaccinated or with no 
increase in antibody titre if it has been vaccinated.  
ii. Dourine   No case of dourine has been reported  in the exporting country/ region in the last 12 months.  
OR 
 The complement fixation test (CFT) on __________________(9).   
N.B. All pages must be endorsed with  the certifying official veterinarian's initials and official stamp using a  different colour ink to the paper and print.  
 (Version: Sep 2020) 
* Delete as appropriate  Page 4 of 8 iii. Equine influenza 
vaccination  During the 90 days immediately prior to export the horse was administered:  
 A primary course of approved vaccinations against equine influenza comprising of at least 2 
doses with an interval of 4 to 6 weeks  or according to the terms of vaccine registration with 
the relevant government authority .  
OR 
 A booster vaccination against equine influenza which was given within 12 months of a primary 
course, or within 12 months of a booster vaccination where it, and any other previous booster 
vaccinations, had been administered annually within a regular 12 -month  period since the 
primary course  (which consisted of at least 2 doses with an interval of 4 to 6 weeks  or according 
to the terms of vaccine registration with the  relevant government authority ). 
iv. Equine influenza 
testing  A nasopharyngeal swab was  collected from the horse within  48 hours  prior to export  and was 
subjected to  the following test: 
 A polymerase chain reaction test for influenza A  on __________________(9). 
OR 
 The Directigen Flu A or Flu A+B test kit manufactured by Becton, Dickinson and Company 
USA (BD) on ___________________ (9). 
OR 
 The BD Veritor Flu A+B test kit on ___________________ (9). 
OR 
 The ESPLINE Influenza A and B -N kit manufactured by Fujirebio Inc. on 
___________________ (9). 
OR 
 Another test as approved by AFCD.  
v. Equine infectious 
anaemia   The immunodiffusion (Coggins) t est on________________(9). 
vi. Equine 
piroplasmosis   The indirect fluorescent antibody test (IFAT) for Theileria equi  and Babesia caballi  on 
_________________(9) 
vii. Equine viral 
arteritis   The serum neutralis ation test (SNT) on __________________(9) collected after entry into 
PEQ. If this first sample was positive (titre of 1/4 or greater) a second sample was taken at 
least 10 days after the first sample on  ____________(9) and was either negative (a titre of 1/4 
or greater is considered to be positive) or  there was no significant rise in titre (four fold 
increase or greater).  
viii. 
 Hendra v irus 
  No case of Hendra virus infection  has been  reported in the exporting country/ region  in the last 
2 years.  
OR 
 An ELISA test on ______________(9). If the ELISA test was positive then the horse was tested 
for Hendra virus with the  VNT on ________________ (9). 
OR 
 Approved and up- to-date vaccination against Hendra virus (11).  
 
ix. Nipah  virus   No case of Nipah virus infection has been reported  in the exporting country/ region  in the last 
2 years.  
OR 
 An ELISA test on ______________(9). If the ELISA test was positive then the horse was tested 
for Nipah virus with the VNT on ________________ (9). 
x. Rabies   No case of terrestrial rabies has been reported  in the export ing country/ region  in the last 2 
years.  
OR 
 During the 6 0 days prior to export or for the period in the exporting country/ region,  the horse 
has not been exposed to rabies nor been on any premises with a case of rabies. The horse has 
not been vaccinated against rabies  or the horse was vaccinated against rabies using an 
approved vaccine not less than 3 0 days and not more than 12 month s prior to export .  
N.B. All pages must be endorsed with  the certifying official veterinarian's initials and official stamp using a  different colour ink to the paper and print.  
 (Version: Sep 2020) 
* Delete as appropriate  Page 5 of 8 xi. Vesicular 
stomatitis   No case of vesicular stomatitis has been reported  in the exporting country/ region  in the last 12 
months.  
OR 
 During the 6 0 days prior to export, the horse has not been on any premises within 50 kilometres  
of a reported case of vesicular stomatitis  in the last 12 months . The horse was tested for 
vesicular stomatitis with the virus neutralis ation test (VNT) or an antigen ELISA with a sample 
collected on __________(9) within 10 days of export.  
xii. Western and 
Eastern  
equine 
encephalomyelitis  
 
 
  No case of w estern and eastern equine encephalomyelitis ha s been reported  in the exporting 
country/ region in the last 2 years . 
OR 
 The horse was vaccinated  against Western and Eastern equine encephalomyelitis with 
inactivated vaccine on ______________ within 6 months to  30 days prior to export.  
OR 
 The horse was kept in AFCD approved vector proof facilities for 21 days prior to export.  
xiii. Surra   No case of surra has been reported in the exporting country/ region  in the last 2 years.  
OR 
 The horse has been kept in vector protected facilities during PEQ and treated with an effective 
vector repellent /insecticide each time it left the facilities. A blood sample has been taken on 
the ___________ and tested using an antibody -detection ELISA and microhaematocrit 
centrifugation technique for surra.  
xiv. Japanese 
encephalitis   As Japanese encephalit is is endemic in Hong Kong, importers are advised to vaccinate their 
 horses prior to import.  
(e) The horse is not intended for slaughter under a national programme of infectious or contagious disease eradication.  
(f) Pregnancy : 
 the horse is not pregnant  
OR 
 so far as can be determined the horse is less than 7 months pregnant and has been continuously resident, since 
last being covered, in an establishment or establishments in which no cases of contagious equine metritis or 
equine viral abortion have occurred dur ing the last 12 months.  
 
SECTION VI  PRE -EXPORT QUARANTINE (PEQ)    
(a) The PEQ premises are officially approved for the export of horses by the competent authority of the exporting 
country/ region(3). 
(b) The PEQ premises has been approved as meeting AFCD requirements.  
(c) The horse was thoroughly examined for the presence of e xternal parasites by either an Official Veterinary O fficer or a 
designated veterinarian  within 24 hours prior to export . A systematic approach was undertaken with close examination 
of ears, false nostr ils, under body areas (axilla, inguinal, under mandible), perineum, mane and tail.  
 No ticks were found  
OR 
 Ticks were found and all horses in the premises were immediately treated with a parasiticide effective against 
ticks. Subsequent re -inspection established that ticks were no longer present. The Government of HKSAR has 
been advised and has accepted the horse for permanent importation and the approval documentation is attached.  
(d) The horse was treated with a broad spectrum parasiticide , licenced/registered for use on horses, capable of killing ticks 
and used according to the manufacturer ’s recommendations within 48 hours prior to export.  
(e) The horse was treated with a broad spectrum anthelmintic, licens ed/registered for use on horses, during PEQ.  
(f) All horses in the PEQ remained free from evidence of infectious disease and had no contact with horses not of the same 
health status.  
(g) No horses have been added to, or removed from, the q uarantine group intended for export to Hong Kong without official 
notification.  
(h) During PEQ the horse has not been mated.   
N.B. All pages must be endorsed with  the certifying official veterinarian's initials and official stamp using a  different colour ink to the paper and print.  
 (Version: Sep 2020) 
* Delete as appropriate  Page 6 of 8 (i) During PEQ the horse has not left the PEQ facilities for training without prior AFCD approval  
(j) If the horse has left the PEQ facilities for other reasons  AFCD has been informed and has given approval for the horse 
to continue PEQ.  
 
SECTION VII  CERTIFICATION V ALIDITY  
This certificate  is valid for 72 hours prior to  export and until importation into Hong Kong.  If a flight is delayed longer than 
72 hours then re -certification is required.  
 
 
 
Signature:   ____________________________________  Official  
Date:   ____________________________________  Stamp:  ________________________________________  
Name of Official Veterinarian:  _________________________________________________________________________ 
  
Position:  ____________________________________  Qualifications:  __________________________________  
Address:   ____________________________________________________________________________________  
  ____________________________________________________________________________________  
Tel. No.:   ____________________________________  Fax:___________________________________________  
Email:   ____________________________________________________________________________________  
Other contact details in event of an emergency outside normal working hours:  
 _________________________________________________________________________________________________   
 
  
N.B. All pages must be endorsed with  the certifying official veterinarian's initials and official stamp using a  different colour ink to the paper and print.  
 (Version: Sep 2020) 
* Delete as appropriate  Page 7 of 8 SECTION VIII  TRANSPORT INFORMATION [This section is to be certified either by the same official 
veterinarian who has certified the foregoing section or by an authori sed transportation agent ] 
(a) The vehicle for the transport of the horse to the port of exit was thoroughly cleaned and disinfected with an officially 
approved disinfectant and was treated with an officially approved insecticide to my satisfaction immediately prior to 
the loading of th e animal.  
(b) During the transportation, after due enquiry and to the best of my knowledge the horse will have no contact with 
animals not of the same certified health status.  
(c) Procedures are in place to ensure that the containers that the horses will be transp orted in and loading facilities will be 
thoroughly cleaned and disinfected prior to use . 
(d) The containers meet the design and species requirements recommendations of the International Air Transport 
Association.  
 
Signature:   ____________________________________  Date:  __________________________________________   
Name:   ____________________________________________________________________________________  
Capacity   ____________________________________  Company:  ______________________________________  
Address:   ____________________________________________________________________________________  
  ____________________________________________________________________________________  
Tel. No. :  ____________________________________  Fax:___________________________________________  
Email:   ____________________________________________________________________________________  
 
SECTION IX  ACKNOWLEDGEMENT BY THE CONSIGNOR OR HIS AUTHORISED AGENT  
I __________________________________ (name) hereby acknowledge the following:  
(a) The horse must undergo post arrival quarantine (PAQ) in a Government  approved quarantine premises for at least 14 
days.  
(b) In the event of the horse identified in SECTION I of this certificate , arriving in Hong Kong without the correct 
certification or in any other way not having met these requirements, the horse and any in -contact horse or equipment  
may be detained in PAQ , exported at the importer ’s expense or destroyed and disposed of at the importer ’s expense.  
(c) During the PAQ in Hong Kong, the horse may be subjected to any testing or any treatment prescribed by the 
Governmen t of HKSAR at the consignor ’s expense.  
(d) If the horse fails a test or shows signs of disease that horse and any in -contact horses may be, at the consignor ’s expense, 
detained in PAQ  for further testing and/or observation or exported or destroyed and disposed of without recompense.  
 
Signature:   ____________________________________  Date:  __________________________________________   
Capacity   ____________________________________  Company:  ______________________________________  
Address:   ____________________________________________________________________________________  
  ____________________________________________________________________________________  
Tel. No. :  ____________________________________  Fax:___________________________________________  
Email:   ____________________________________________________________________________________  
Other contact details in event of an emergency outside normal working hours:  
 _________________________________________________________________________________________________    
N.B. All pages must be endorsed with  the certifying official veterinarian's initials and official stamp using a  different colour ink to the paper and print.  
 (Version: Sep 2020) 
* Delete as appropriate  Page 8 of 8   
FOOTNOTES:  
 
1. The language of the exporting/importing country(ies) /region  may also be used providing that it appears below 
the English version on the same certification. In the event of any differences, the English version will prevail.  
2. Scheduled countries /region  for permanent import of horses : Argentina, Australia, Canad a, Denmark, France, 
Germany, Italy, Japan, Macao Special Administrative Region  of People ’s Republic of China, Peninsular 
Malaysia (currently suspended from transporting horses directly  or indirectly  to Hong Kong) , New Zealand, 
the Republic of Ireland, the Republic of South Africa  (currently suspended from  transporting horses directly 
to Hong Kong) , Singapore, the United Arab Emirates, the United Kingdom (Great Britain & Northern Ireland) 
and the United States of America.   
3. Competent Authority: The government  authority of the exporting country/ region , which is responsible to 
issue official certification for the export of horse s. 
4. The consignor or his authorised agent must complete the acknowledgement (SECTION IX) attached to this 
certificate.  
5. For horses imported directly from a country where African horse sickness has occurred in the last 2 years, 
then pre-export quarantine must be for a minimum of 40 days in a government facility that have Culicoides  
proof s tables  in order to allow the testing  to be carried out.  
6. An official African horse sickness free zone of a country, territory or part of a territory as designated by  
AFCD. 
7. All serological tests and vaccinations must be carried out in accordance with the latest version of the OIE 
Manual of Sta ndards for Diagnostic Tests and Vaccines if OIE standards exist. The laboratory reports (or 
certified copies) for tests carried out must be attached to this certificate  and officially endorsed by the 
certifying veterinarian. Proof of vaccinations must  also be attached.  
8. Blood samples must be sent to a laboratory approved by the veterinary authority of that country/ Region .  
9. Enter date the blood sample was collected.  
10. Certified copies may be photocopies of the original laboratory results bearing the name, title , signature, date 
and official letterhead of the laboratory. If copies of the laboratory reports are not available then the tests will 
be deemed to have not taken place and must be performed again by the exporting country/ region . 
11. Equivac® HeV virus vaccine produced by Zoetis Australia Pty Ltd is the only available vaccine against 
Hendra virus and subsequently approved for use for imported horses by AFCD. Vaccines must be 
administered as per registration requirements and manufacturer’s advice. The import mus t be accompanied 
by an up -to-date vaccination certificate endorsed by the official veterinary officer authorised by the 
competent veterinary authority of the exporting country/ region . 
 
  
N.B. All pages must be endorsed with  the certifying official veterinarian's initials and official stamp using a  different colour ink to the paper and print.  
 (Version: Jul 2020) 
* Delete as appropriate                ANNEX 1: ADDITIONAL CERTIFICATION FOR HORSES TO BE PERMANENTLY IMPORTED INTO HONG 
KONG WITH RESIDENCY IN MORE THAN ONE TRIPARTITE COUNTRY* OR AUSTRALIA/NEW 
ZEALAND* OR REPUBLIC OF SOUTH AFRICA* DURING THE 60 DAYS PRECEDING EXPORT  
Name :  
 Colour :  
 
Sex :  
 Age :  
 Breed :  
 
Accompanying Passport Number  or an identification silhouette is attached to this document* : 
  
 
Name and Address of Export Premises :  
 
 
 
I, _____________________________________________, a Government veterinarian authorised by the competent 
veterinary authority of the United Kingdom/France/Republic of Ireland /Australia/New Zealand /RSA * to certify horses for 
export, hereby declare that the following listed requirements are complied with fully:  
(a) During the 60 days immediately preceding export or  during the period of residency in the exporting country:  
i. either the horse has only been in an African Horse Sickness (AHS) free country where AHS has not been 
reported in the last two years and where vaccination against this disease has not been practiced  in the last 12 
months, or it has been in an officially recognised AHS Free Zone(6). 
ii. the horse has not been in any country in which Venezuelan equine encephalomyelitis, glanders and surra has 
been reported during the last two years nor has the horse been v accinated against Venezuelan  equine 
encephalomyelitis disease.  
(b) During the 60 days immediately preceding export the horse  either  has only been in countries that have been free of  
terrestrial rabies for the last 2 years , or the horse has not been exposed to rabies nor been on any premises where  rabies  
has been reported  for the last 60 days . 
(c) The horses have not been on any premises where the diseases listed below occurred during the 60 days prior to export, 
nor have the ho rses been infected with the diseases listed below during the 60 days prior to export.  
Anthrax**  Equine herpes virus (all types) infection  Horse mange   Surra   
Contagious equine metritis**  Equine infectious anaemia**  Horse pox   Venezuelan equine encephalomyelitis**  
Dourine**  Equine influenza  Japanese encephalitis   Vesicular stomatitis**  
Eastern equine encephalomyelitis**  Equine piroplasmosis   Nipah virus infection  Western equine encephalomyelitis**  
Epizootic lymphangitis  Equine viral arteritis   Scabies   
Equine ehrlichiosis  Glanders**  St. Louis encephalitis   
Equine encephalosis  Hendra virus infection  Strangles (Streptococcus equi)   
The diseases with a double asterisk (**) listed above are compulsorily notifiable in the country of export.  
 
Signature:   ________________________________________________  Official  
Name:   _______________________________________________  Stamp:   ________________________  
Address:   ____________________________________________________________________________________  
Tel. No.:   _________________________________  Fax: ___________________________________________  
Email:   ____________________________________________________________________________________  
NOTE: This certificate to be completed by the official veterinarian in the country of export within 24 hours prior to export   
N.B. All pages must be endorsed with  the certifying official veterinarian's initials and official stamp using a  different colour ink to the paper and print.  
 (Version: Jul 2020) 
* Delete as appropriate                ANNEX 2: ADDITIONAL CERTIFICATION FOR HORSES IMPORTED DIRECTLY FROM THE REPUBLIC 
OF SOUTH AFRICA.  
A: CERTIFICATE OF HEALTH STATUS MAINTENANCE AT JOHANNESBURG INTERNATIONAL 
AIRPORT  
The undersigned officer of the South African Veterinary Administration certifies that during the stopover at Johannesburg 
International Airport of flight number _____________________ on ____________________, the doors to the cargo hold 
containing horses remained closed at all times.  
 
Issued at:   _________________________________________  on  _____________________________________   
Signature:   _________________________________________  Official  
Name:   _________________________________________  Stamp:   __________________________________  
Address:   ____________________________________________________________________________________  
  ____________________________________________________________________________________  
Tel. No.:   _________________________________  Fax: ___________________________________________  
Email:   ____________________________________________________________________________________  
 
 
B: DECLARATION BY THE CAPTAIN  
The undersigned captain of voyage/flight number ____________________ on ____________________ declares that:  
(a) The flight landed at Johannesburg International Airport  
(b) The interior of the aircraft was sprayed with an approved insecticide, immediately prior to departure from Johannesburg 
International Airport.  
 
Issued at:   _________________________________________  on  _____________________________________   
Signature of Captain:  _____________________________________  Official  
Name:   _________________________________________  Stamp:   __________________________________  
Address:   ____________________________________________________________________________________  
  ____________________________________________________________________________________  
Tel. No.:   _________________________________  Fax: ___________________________________________