FORM 3 FOR ORGAN OR TISSUE DONATION BY OTHER THAN NEAR RELATIVE LIVING DONOR (To be completed by him/her) (Refer rules 3, 5(3)(a) and 5(3)(e)) My full name is

FORM 3 FOR ORGAN OR TISSUE DONATION BY OTHER THAN NEAR RELATIVE LIVING DONOR (To be completed by him/her) (Refer rules 3, 5(3)(a) and 5(3)(e)) My full name is ............................................................................................................................................................... and this is my photograph Photograph of the Donor (Attested by Notary Public acro (Extractive summary — verify with official source.)