The Transplantation of Human Organs Rules, 1995 - Form 12

FORM-12

CERTIFICATE OF REGISTRATION

This is to certify that.....................................Hospital located at..............................…...has been inspected by the Appropriate Authority and certificate of registration is granted for performing the organ transplantation of the following organs

 1.    ...................................................
 2.    ....................................................
 3.    ...................................................
 4.    ....................................................

   This certificate of registration is valid  for a period of five years from the date of issue.
 

Signature                                                           Signature