Pledge to donation

SPARSH

Society for Promoting Awareness Regarding School & Health

ORGAN(S) AND TISSUE(S) DONOR FORM

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In the presense of persons mention above hereby unequivocally autherise the removal of following organ(s) and/or tissue(s), from my abody after bring declared brain stem dead by the board of medical experts and consent to donate the same for therapeutic purposes.The information which you are entering in the above form is confidential and will be used only for purpose of organ donation and transplant processes and will not be shared/used for any other purpose.

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Witness Details

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