TRANSPLANTATION OF HUMAN ORGANS

FORM 9
(See rule 4(3) (b)) 

                                                  

  I, Mr/Mrs....................................son of / wife of
  ....................... resident of ...........................hereby
 authorise removal of the  organ/organs namely .......................for therapeutic purposes  from   the dead body of my son/daughter . Mr/Ms ...............................
aged......... whose brain stem death has been duly certified 
 in accordance with the law 

Signature.............................. 

Name.................................    
Place................................... 
Date..................................

                                    FORM -10  

     APLICATION FOR APPROVAL FOR TRANSPLANTATION
              LIVE DONOR OTHER THAN NEAR RELATIVE

Whereas I ....................................................
S/O, D/O, W/O, L/O. ...............  aged residing..............................have been informed by 
my doctor that I am suffering from.......................and 
may be  benefitted by transplantation ......................... 
into my body.  and  whereas I .....…………………… S.O. D.O. W.O............................. aged .................. residing at..............................by reason of affection and 
attachment because : 
..............................................................................
...............................................................................
(reason to be filled in) would like to donate my ..................
to ........................we................................. (donor) and ....................... hereby apply to authorisation committee 
for permission      (Recipient)  for such transplantation to be 
carried out. We solemnly affirm that the  above decision has 
been taken without any undue pressure, inducement, influence
 or allurement and that all-possible consequences and options
 of organ transplantation have been explained to us.
...................................................................................
.................................................................................... Signature and address of prospective  

donor                                                        recipien