Certificate of relationship between donor and recipient in case of foreigners

(To be issued by the Embassy concerned) [See rule 20(a)] The embassy of _______________ (Name of Country) in India, is in receipt of an application received from___________________________ (Name of Organ donor and recipient) on _____________ (Date) recommended by_________________________(Name of Government Department of country of origin) for facilitation of donation of __________________________(Name of Organ or Tissue) from living donor ________________________(Name of donor) to the recipient ____________________________ (Name of recipient) for therapeutic purposes under the Transplantation of Human Organ Act, 1994(42 of 1994). The details of donor and recipient and photographs are as given below. Details of Recipient Details of Donor Name.................................................... Name:....................................................... Age....................................................... Age........................................................... Sex...................................................... Sex........................................................... Father or Husband Nam e................ Father or Husband name...................... Adddress: Address: Recipient Donor (Photo of recipient and donor must be signed and stamped across the photo after affixing) 1, This is to certify that relationship between donor and Recipient is............................................ 2. The authenticity of following enclosed identification and verification documents is certified a. __________________________________________________ b. ___________________________________________________ ‘No objection certificate’ is granted, as to the best of my knowledge, the donor is donating out of love and affection or affection and attachment towards the recipient, and there is no financial transaction between recipient and donor and there is no pressure on or coercion of the donor. (Signature of Senior Embassy Official) Date: Name:.............................. Place: Designation...............................