FORM -6
[(See rule 4(2) (b)]
I..................................................................s/o,d/o,w/o........................................aged.................
resident of................................................................................having lawful possession of the dead body Sri/Smt/km........................s/o,d/o,w/o....................................................................aged...........
of........................................................................................................having} known that the deceased has not expressed any objection to his/her organ/organs being removed for therapeutic purposes after his/her death and also having reasons to believe that no near relative of the said deceased person has objection to any of his/her organs being used for therapeutic purposes authorise removal of his/her body organs, namely..............................................
Dated...............................
Place …………………... Person in lawful possession of the dead body
Address..................................................................................
...............................................................................................
