S.No. |
Form No. |
Description |
Download |
1 |
Form 1 |
For organ or tissue donation from identified living near related donor |
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2 |
Form 2 |
For organ or tissue donation by living spousal donor |
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3 |
Form 3 |
For organ or tissue donation by other than near relative living donor |
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4 |
Form 4 |
For certification of medical fitness of living donor |
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5 |
Form 5 |
For certification of genetic relationship of living donor with recipient |
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6 |
Form 6 |
For spousal living donor |
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7 |
Form 7 |
For organ or tissue pledging |
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8 |
Form 8 |
For Declaration cum consent |
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9 |
Form 9 |
For unclaimed body in a hospital or prison |
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10 |
Form 10 |
For certification of brain stem death |
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11 |
Form 11 |
APPLICATION FOR APPROVAL OF TRANSPLANTATION FROM LIVING DONOR |
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12 |
Form 12 |
APPLICATION FOR REGISTRATION OF HOSPITAL TO CARRY OUT ORGAN OR TISSUE TRANSPLANTATION OTHER THAN CORNEA |
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13 |
Form 13 |
APPLICATION FOR REGISTRATION OF HOSPITAL TO CARRY OUT ORGAN/TISSUE RETRIEVAL OTHER THAN EYE/CORNEA RETRIEVAL |
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14 |
Form 14 |
APPLICATION FOR REGISTRATION OF TISSUE BANKS OTHER THAN EYE BANKS |
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15 |
Form 15 |
APPLICATION FOR REGISTRATION OF EYE BANK, CORNEAL TRANSPLANTATION CENTRE, EYE RETRIEVAL CENTRE UNDER TRANSPLANTATION OF HUMAN ORGANS ACT |
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16 |
Form 16 |
CERTIFICATE OF REGISTRATION FOR PERFORMING ORGAN/TISSUE TRANSPLANTATION/RETRIEVAL AND/OR TISSUE BANKING |
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17 |
Form 17 |
Certificate of Renewal of Registration |
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18 |
Form 18 |
CERTIFICATE BY THE AUTHORISATION COMMITTEE OF HOSPITAL (If hospital authorisation committee is not available then the Authorisation Committee of the district/state) where
the transplantation has to take place (To be issued on the letter head).
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19 |
Form 19 |
Certificate by competent authority [as defined at rule 2(c)] For Indian near relative,other than spouse, cases (In case of spousal donor, Form 6 will be applicable) |
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20 |
Form 20 |
Verification certificate in respect of domicile status of recipient or donor [To be issued by tehsildar or any other authorised officer for the purpose (required only for the donor - other than near relative or recipient if they do not belong to the state
where transplant hospital identified for operation is located)] |
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21 |
Form 21 |
Certificate of relationship between donor and recipient in case of foreigners (To be issued by the Embassy concerned) |
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