TRANSPLANTATION OF HUMAN ORGANS

FORM - 2
[(See rule 4(1) (b)] 

I, Dr.…………………………………………........, possessing the qualification of  ........………………… registered as medical practitioner at serial No. .................…… by the ....................................... Medical as Medical Council, certify that I have examined Shri / Smt / Kum. ............................. S/o, D/o, W/o ......................................................... aged ................................ who is free and is near relative of the donor and that the said donor is in proper state of health and is ........................... medically fit to be subjected to the procedure of organ removal. 

Place: ..........................                    Signature

Date:  ......................…

FORM -3
[(See rule 4(1) (c)] 

I, Dr........................................ possessing the qualification of ……………………………………….. registered as med. practitioner at Serial No. ................ by the .......................... ..................... Medical council, certify that Mr. /Mrs. …………………………….................... .................................................... S/o, D/o, W/o …………………………… aged ..…………............................the donor, an Mr./Mrs. ………………………………………… S/o, D/o, W/o …………………… …………………… aged ........................., the recipient of the organ donated by the said donor are related to each other as brother/sister/mother/father/son/daughter as per their statement and the fact of this relationship has been established by the results of the tests for Antigenic Products of the Human Major Hysto-compability System, namely ....................................................... by the Authorisation Committee as per the information contained in their letter of approval No. .................................................................... dated .......................

Place..........................                                 Signature

Date..........................