Equibreed UK Semen Dispatch Certificate 2020 v.1

1.
W: www.equineembryotransfer.co.uk E: enquiry@equineembryotransfer.co.uk P: 01189712994
Barclays Bank Acc no: 83192598 Sort code 20-71-03 VAT Reg no: GB129430885 DEFRA Reg: Embryos UK EE-02 Semen UK 9056- EC
equibreeduk
Lower Meadows,
Grange Lane,
Beenham,
Reading,
RG7 5PT
CONFIRMATION OF RECEIPT OF FROZEN SEMEN & CERTIFICATE OF INSEMINATION
Registered Name of Stallion: …………………………………………………………………….............................
Stallion Owner/Agent: ………………………………………..……………………….……………………………...….
Semen collection date: …………………………… Straw colour:……………………........................
No straws per dose:……………………………….. Swab results;……………………........................
CERTIFICATE OF INSEMINATION
I, the undersigned, confirm that I received the above consignment of frozen semen:
Date of receipt: ……………………………………………. Time of receipt: ………………………………….......
Has semen been analyzed at receiving end? Y / N If yes Progressive Motility: %
The semen was used to inseminate the following mare:
Registered Name of Mare: ……………………………………… Passport No: ……..……………………………
Mare Owner: ……………………………………………………………………………………………………………………
Address: …………………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………………...
Insemination Date: ………………………………………… Time of Insemination: ……………………………...
Proposed Flushing Date (if embryo transfer being used): .......................................................................
I also certify that:
• I have checked the Mare’s identity with the passport.
• No other mares were inseminated with this semen.
I certify that I have inseminated the above named mare and only this mare using the semen supplied. I am also
satisfied that this is the same mare described in the nomination agreement between the mare owned and stallion
owner/agent.
Signed: ………………………………………………………………….………….
Name: …………………………………………………………………………….... Date: ……………………………………………………...............................
Practice address: …………………………………….………………………...................................................................................................................…
…………………………………………………………………………………….....……………………………………………………………………………………….
IMPORTANT NOTICE

2.
W: www.equineembryotransfer.co.uk E: enquiry@equineembryotransfer.co.uk P: 01189712994
Barclays Bank Acc no: 83192598 Sort code 20-71-03 VAT Reg no: GB129430885 DEFRA Reg: Embryos UK EE-02 Semen UK 9056- EC
equibreeduk
Lower Meadows,
Grange Lane,
Beenham,
Reading,
RG7 5PT
This certificate must be completed by the vet and returned to Equibreed UK Ltd immediately after scanning. We will
not be able to send further consignments of semen until this certificate has been received by us.