This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use.

OK, I agreeNo, give me more info

A A A Print

TRANSPLANTATION OF HUMAN ORGANS

FORM 9

[Refer rule 4(3) (a) (b)]

 

I, Shri/Smt. .............. s / o. w / o, Shri ................ resident of ........... hereby authorize removal of the organ / organs, namely, ......... for therapeutic purpose from the dead body of my son / daughter Shri / Km. ...........aged ............. Whose brain-stem death has been duly certified in accordance with the law.

 

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

Name.................

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

Place....................

Page 1 of 1


Search