FORM 9
(See rule 4(3) (b))
I, Mr/Mrs....................................son of / wife of.......................resident of...........................hereby authorise removal of the organ/organs namely..................................for therapeutic purposes from the dead body of my son/daughter . Mr/Ms...............................................................aged.........................whose brain stem death has been duly certified in accordance with the law
Signature..............................
Name....................................
Place.....................................
Date........................................
