CONFIDENTIAL CERTIFICATE A Protection of Animals used in Scientific/Medical Procedures CRUELTY TO ANIMALS ACT, 1876 As Amended by European Communities (Amendment of Cruelty of Animals Act 1876) Regulations 2002 Here insert name, address and qualifications of WHEREAS person to whom Certificate is to be given. (Sec. 11 of Act). Here insert name and statutory qualification of each Has represented to us person certifying. (Sec. 11 of Act). Professor John Reynolds, Professor of Surgery, Trinity Centre of Health Sciences, St. James’s Hospital, Dublin 8 Ms. Eilis McGovern, President of the Royal College of Surgeons Ireland, St. Stephen’s Green, Dublin 2 That s/he proposes, if duly authorised under the above-mentioned Act, to perform on living animals certain experiments described below. We hereby certify that, in our opinion, insensibility in the animals on which any such experiment may be performed cannot be produced by anaesthetics without necessarily frustrating the object of such experiment, and we think it expedient that the person above-named, should be authorised to perform without anaesthetics, as series of such experiments. A Certificate may be given for such time OR for This Certificate is given for such series of experiments as the person signing (List Number and Species of Animals). may think expedient. This Certificate shall be in force until the day of 20 Experiments must not be performed unless the applicant has a valid licence for the procedure and the species and number of animals involved and the appropriate certificate(s). Signature of Certifiers ) to be attached here ) Date It is necessary to submit, in addition, if dogs or cats Description of proposed experiments and types of animals to be used:- are used, Certificate E, of if horses, asses or mules are used, Certificate F. Here state in what manner the experiments will be Object of these experiments:- of service in advancing by new discovery, physiological knowledge or knowledge which will be useful for saving or prolonging life or alleviating suffering. N.B. This Certificate is subject to the conditions laid down in the Act and to any conditions that may be annexed to the licence and it will be the duty of the holder to refer to his/her licnece to ascertain whether any of the conditions attached thereto limit the number of experiments authorised by this Certificate, or in any other way place restrictions on what may be done under this Certificate. Note under Section2(7) of the European Communities (Amendment of Cruelty of Animals Act 1876) Regulations 2002, analgesics or other appropriate methods should be used in order to ensure as far as possible that pain, suffering, distress or harm are limited and that in any event the animal is not subject to severe pain, distress or suffering.