Schedule-3
(Relating to Clause (h) of Sub-rule (2) of Rule 10)

Format of the Health Certificate for Eggs, Day-Old Chicks,
Other Newly-hatched Avian Species and Hatching Eggs
Government of Nepal

Ministry of Agriculture
Department of Livestock Services
Animal Quarantine Check Post
Health Certificate for Day-Old Chicks, Turkey Poults, other
Newly-Hatched Avian Species and Hatching Eggs
Exporting Country…………………………………….
Ministry……………………………………………………………….
Department:………………………………………………………
District…………………………………………………………………..
1. Identification of the bird/s or hatching egg/s
Number Mark Species Breed

2. Origin of the bird/s or hatching egg/s :
Name and address of the establishment of origin* : …………………………
or of the hatchery* :………………….
Name and address of exporter: ………………………………………………
3. Destination of the bird/s or hatching egg/s:
Country of destination:………………………….
Name and address of consignee………………………………………………….
Nature and identification of means of transport:…………………
Type of containers……………………..
4. Sanitary information:
The undersigned Official Veterinarian certifies that the day-old chicks*, turkey Poults* or hatching eggs*:
a) come from an establishment* or a hatchery* which is regularly inspected;
b) **come from an establishment* or a hatchery* which satisfies the following requirements (if
applicable)**:
Official stamp:
Issued at ………………. on ………………..
Name and address of Quarantine Officer………………….
Signature …………………………….……………………..
* Delete where not applicable
** These conditions are agreed conditions between the Veterinary Services of the importing and
exporting countries