FORM 2 FOR ORGAN OR TISSUE DONATION BY LIVING SPOUSAL DONOR (To be completed by him/her) (Refer rules 3, 5(3)(a) and 5(3)(d)) My full name (proposed donor) is

FORM 2 FOR ORGAN OR TISSUE DONATION BY LIVING SPOUSAL DONOR (To be completed by him/her) (Refer rules 3, 5(3)(a) and 5(3)(d)) My full name (proposed donor) is .................................................................................................................................. and this is my photograph Photograph of the Donor (Attested by Notary Public across the photo after affixing) (Extractive summary — verify with official source.)