S.No. Form No. Description
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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 the approval of Transplantation from Lining 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 Retrival other than Eye/Cornea Retrival
14 Form 14 Application for Registration of Tissue Banks other than Eye Banks
15 Form 15 Application for Registeration of Eye Bank, Corneal Transplantation Center, Eye Retrival Center under Transplantation of Human Organs Act
16 Form 16 Certificate of Registration for performing Organ/Tissue Transplantation/Retrival 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)
22 GO SOP on role of police in case of deceased organ donation
23 GO SOTTO GO (for police officers)
24 Office Order Office Order regarding BSD certificate for all the potential donors in all ICU's of SGPGI & ATC
25 Office Order Office Order to Mr. Rishabh Kumar, Advocate
26 Office Order Duty Roster of Transplant Coordinators
27 Circular Circular for meeting of steering committee regarding predetermined agenda
28 Circular Circular for constitution of the Brain Stem Death Certification Committee for Certification of Brain Stem Death at SGPGIMS
29 Circular Circular regarding constitution of Brain Stem Death Certification
30 Office Order Office Order regarding brain stem death declaration of potential patients in all the ICUs of SGPGIMS & ATC
31 Office Order Office Order regarding Standard Checklist for Assessment of Transplant centers for the grant of authorisation under THOA Rules
32 Office Order Regarding waive off & refund of all the charges incurred & borne out of pocket on treatment of the patient whose NoK gives consent for harvesting organs leading to successful cadaver organ transplantation
33 Office Order As per The Human Organ Transplant Act, 1994 BSD certification panel has been appointed in "Tender Palm Superspeciality Hospital" Gomti Nagar Extension, Shaheed Path, Lucknow.
34 Guidelines One nation, One Policy in Organ Donation and Transplantation


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