Government of West Bengal
Directorate of Medical Education
Swasthya Bhavan, Salt Lake
GN-29, Sector-V, Kolkata – 700091
Memo. No. CE/916-2001-M/1100 Dated, Kolkata, the 16/06/2015
Regulation for submission of application regarding “No Objection Certificate” for Organ Transplantation undergoing operation outside West Bengal:
Following documents are required to obtain No Objection Certificate for Transplantation of Human Organ:
A. From the end of Transplant Institutions:
1. Application prayer from the Head of the Institution where Kidney transplantation to be done will be addressed to :
The Director of Medical Education & e.o. Secretary, Department of Health and Family Welfare & Chairman of the State Authorization Committee, WB as per Transplantation of Human Organ Act, 1994.
2. Certificate of the Nephrologist of the concerned Institute regarding the necessity of Kidney Transplantation.
3. Prayer for Kidney Transplantation from the recipient addressed to as mentioned in Sl. No. 1.
4. Prayer for Kidney donation by the donor and donor’s legal guardian addressed to as mentioned in Sl. No. 1.
5. Authorization letter of the recipient to his or her man of confidence to look after the matter addressed to as mentioned in Sl. No. 1, authenticated by the authority of Transplant Facility with photo.
6. Attested copies of residence proof i.e. Domicile Certificate of recipient, donor and donor’s legal guardian from the competent authority.
7. Attested copies of Identity Proof:
i. Voter’s Identity Card or
ii. Passport or
iii. Government Identity Card (in case of Govt, employee/s) or
iv. Aadhaar Card (if available) of the concerned recipient, donor and donor’s legal guardian.
8. Attested copy of Registration Certificate of the Institute by the Appropriate Authority of the concerned State where kidney transplantation will be done.
9. Original copy of affidavit of donor, his or her legal guardian from a 1st Class Judicial Magistrate/ Metropolitan Magistrate (in case of Metropolitan city).
10. Original copy of Form No. 2. To be completed by the concerned Medical Practitioner.
11. Original copy of consent of donor’s legal guardian authenticated by Notary Public [Form 1(a), 1(b) or 1(c) which one is applicable].
12. Original copy of Form No. 10 affixed with recent passport size photograph of both donor and recipient duly attested by the concerned Nephrologist of the Institute where Kidney Transplantation will be done clearly mentioning the mark of identification of both donor and recipient at the bottom of the respective photographs.
13. Supportive documents in favour of the recipient regarding end-stage renal failure.
All the above mentioned papers are to be submitted chronologically in order as stated above and firmly tagged after proper authentication by the concerned nephrologist of the Institute where Organ Transplantation will be done.
Director of Medical Education and ex-officio Secretary, WB
and Chairman, Authorization Committee, as per THOA 1994
No. CE/1100 dated 16.06.2015, Source