Scribd
Upload
85 views1 page

Health CErtificate Format

The document outlines a Veterinary Certificate format required by the Agriculture Insurance Company of India Limited for insuring livestock. It includes sections for the proposer's information, details about each animal, and a certification by a veterinarian regarding the health and suitability of the livestock for insurance. The document also provides contact information for the insurance company and relevant registration details.

Uploaded by

Ameya Deshpande
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
85 views1 page

Health CErtificate Format

The document outlines a Veterinary Certificate format required by the Agriculture Insurance Company of India Limited for insuring livestock. It includes sections for the proposer's information, details about each animal, and a certification by a veterinarian regarding the health and suitability of the livestock for insurance. The document also provides contact information for the insurance company and relevant registration details.

Uploaded by

Ameya Deshpande
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Agriculture Insurance Company of India Limited

Veterinary Certificate Format

Name of Proposer: Address:

Address if animal is stabled Yield in case of milch


at different location: livestock
(per day in litre)

Give the following particulars in full for each animal, feel free to use the blank space:

Type of Gender Age Colour Breed Milk Present Identification Identification Biological Vaccination Any pre-
livestock Production/ Market Mark Number Mark Details existing
Pregnancy Value (if any) Disease
Status (Rs.)

The above-mentioned details was/were carefully examined by me on ___ day of _______ month of ______ year and the above livestock were found in good health. I certify that
the livestock is free from any pre-existing diseases (other than those mentioned above) and are in a fit condition for insurance. I certify that the cost of the livestock is reasonable
to the best of my knowledge. I certify that the animal proposed for insurance for milching and milk capacity is suitable for its breed and age (in case of milch animals only).

___________________
Signature of Veterinary

Stamp of the Veterinary

Name and Date:

Address:

Designation:

Qualification:

Registration/Membership Number:

Agriculture Insurance Company of India Limited


Registered Office: Plate B &C, 5th Floor, Block 1, East Kidwai Nagar, New Delhi – 110023
Tel: 011-24604444 ; Web: [Link]
IRDAI Registration Number – 126

You might also like