Health & Valuation Certificate

Enter Code

Birdview Insurance

PARTICULARS OF INSURED

Name of the Insured

P.O. Box

Code

Town

Mobile No

ID No

KRA PIN No

ANIMALS FOR CERTIFICATION

Tag Number / Name	Age (years)	Breed	Classification	Market Price (Kshs)	Overall Health	Action

Vet's opinion on the general health and value of the cows:

VETERINARIAN DETAILS

Name of Veterinary Doctor

Qualifications

Kenya Veterinary Board Registration Number

Physical Address

Mobile No

I declare that the information given in this certificate is truthful and warrant that no material information has been withheld regarding the health status and valuation of the animals examined.

Signature of Insured

Date