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 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 |
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13 |
Form 13 |
Application for Registration of Hospital to carry out Organ/Tissue Retrival other than Eye/Cornea Retrival |
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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 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 |
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17 |
Form 17 |
Certificate of Renewal of Registration |
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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) |
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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)] |
|
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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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 |
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25 |
Office Order |
Office Order to Mr. Rishabh Kumar, Advocate |
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26 |
Office Order |
Duty Roster of Transplant Coordinators |
|
27 |
Circular |
Circular for meeting of steering committee regarding predetermined agenda |
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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 |
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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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35 |
Office Order |
Office Order regarding formation of Brain Stem Death Declaration Committee as per THOA,1994 in Fortis Hospital, B-22, Sector - 62 NOIDA on 08/10/2024 |
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36 |
Office Order |
Office Order regarding formation of Brain Stem Death Declaration Committee as per THOA,1994 in Ram Manohar Lohiya Institute of Medical Sciences, Vibhuti Khand, Gomti Nagar, Lucknow on 08/10/2024 |
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