FORM 1 FOR ORGAN OR TISSUE DONATION FROM IDENTIFIED LIVING NEAR RELATED DONOR (To be completed by him or her) (Refer rules 3 and 5(3)(a)) My full name (proposed

FORM 1 FOR ORGAN OR TISSUE DONATION FROM IDENTIFIED LIVING NEAR RELATED DONOR (To be completed by him or her) (Refer rules 3 and 5(3)(a)) My full name (proposed donor) is .......................................................................................................................................... and this is my photograph. Photograph of the Donor (Attested by Notary Public across the p (Extractive summary — verify with official source.)