Forms


S.No. Form No. Description Download
1 Form 1 For organ or tissue donation from identified living near related donor
2 Form 2 For organ or tissue donation by living spousal donor
3 Form 3 For organ or tissue donation by other than near relative living donor
4 Form 4 For certification of medical fitness of living donor
5 Form 5 For certification of genetic relationship of living donor with recipient
6 Form 6 For spousal living donor
7 Form 7 For organ or tissue pledging
8 Form 8 For Declaration cum consent
9 Form 9 For unclaimed body in a hospital or prison
10 Form 10 For certification of brain stem death
11 Form 11 Application for approval of transplantation from living donor
12 Form 12 Application for registration of hospital to carry out organ or tissue transplantation other than Cornea
13 Form 13 Application for registration of hospital to carry out Organ/Tissue retrieval other than Eye/Cornea retrieval
14 Form 14 Application for registration of tissue banks other than eye banks
15 Form 15 Application for registration of eye bank, Corneal transplantation centre, Eye retrieval centre under transplantation of Human Organs Act
16 Form 16 Certificate of registration for performing Organ/Tissue Transplantation/Retrieval and/or Tissue Banking
17 Form 17 Certificate of Renewal of Registration
18 Form 18 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)]
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)
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)]
21 Form 21 Certificate of relationship between donor and recipient in case of foreigners (To be issued by the Embassy concerned)