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2025 Supreme(Online)(Ker) 19804

IN THE HIGH COURT OF KERALA AT ERNAKULAM
Hon'ble High Court of Kerala, J
Sri. Muhammed Rasheed – Appellant
Versus
District Level Authorisation Committee for Transplantation of Human Organs – Respondent
WP(C) 7866/2025



Advocates:
For the Appellants/Petitioners: Not specified
For the Respondents: Not specified

The court emphasized the necessity of altruism in organ donation and mandated that the Authorisation Committee provide clear and cogent reasons for any application rejection under the Transplantation of Human Organs and Tissues Act.

Headnote:(A) Transplantation of Human Organs and Tissues Act, 1994 - Section 9(3) - Writ petition filed to quash order rejecting application for organ transplantation - The petitioners sought permission for a non-relative liver donation; the application was initially rejected, but the court found the rejection arbitrary and unreasonable, emphasizing the need for altruism in organ donation and proper adherence to legal guidelines. (Paras 10, 11, 20, 26)

(B) Judicial Review - The court held that the Authorisation Committee must provide cogent reasons for rejecting applications under the Act, ensuring transparency and fairness in decision-making. (Paras 19, 25)

Facts of the case:
The 1st petitioner required a liver transplant due to cirrhosis, with the 2nd petitioner volunteering to donate her liver. Initial rejections were based on perceived lack of altruism and financial disparity.

Findings of Court:
The court found the rejection of the application arbitrary and directed the 4th respondent to grant permission for transplantation within one week.

Issues: The core issues involved the legality of the rejection of the application for organ donation and the adherence to statutory requirements.

Ratio Decidendi: The court emphasized that altruism must be prioritized in organ donation and that the Authorisation Committee must provide clear reasons for any rejection.

Result: Writ petition allowed; orders quashed and approval for transplantation granted.

Table of Content
1. importance of proving altruism and transparency. (Para 18 , 19 , 20)
2. judicial precedents on organ donation and approval. (Para 21 , 22 , 23 , 24)
3. court quashes rejection order and grants approval. (Para 25 , 26 , 27)

JUDGMENT

Dated this the 06th day of March, 2025 The writ petition is filed to quash Ext.P21 order passed by the 4th respondent, rejecting the petitioners’

joint application for permission for organ transplantation.

2. The 1st petitioner is suffering from liver cirrhosis. He has been advised to undergo liver transplantation to save his life. Since there is no suitable family member in the 1st petitioner’s family to donate the liver, the 2nd petitioner has volunteered to donate a part of her liver for the transplantation. Consequently, the petitioners had submitted Ext.P10 joint application before the 4th respondent with all the supporting documents. The petitioner has also produced Ext.P1 Certificate of Altruism issued by the Assistant Commissioner of Police, Guruvayur (‘ACP’ in short). However, the 4th respondent rejected the joint application by Ext.P12 order. Aggrieved by Ext.P12, the petitioner had preferred Ext.P13 appeal before the 2nd respondent. But, the 2nd respondent rejected the appeal by Ext.P15 order. The petitioners challenged Exts.P12 and P15 orders before this Court by filing W.P.(C) No. 439/2025. When the writ petition came up for consideration on 07.01.2025, this Court directed the ACP to file a statement regarding the enquiry he had conducted. Accordingly, the ACP filed Ext.P17 affidavit, inter alia, stating that the Station House Officer, Pavaratty Police Station had conducted an enquiry and found out the 1st petitioner and the 2nd petitioner's husband are close friends. It was in the said background that the 2nd petitioner volunteered to altruistically donate a part of her liver. She had also filed an affidavit to the said effect. By Ext.P20 judgment, this Court set aside Exts.P12 and P15 orders and directed the 4th respondent to reconsider the matter afresh after adverting to Ext.P1 Certificate of Altruism. Notwithstanding the specific directions in Ext.P20 judgment, by Ext.P21 order, the 4th respondent has rejected the joint application. Ext.P21 is ex facie illegal and wrong. Hence, the writ petition.

3. Heard; the learned counsel for the petitioners and the learned Government Pleader.

4. The petitioners had submitted Ext.P10 joint application seeking permission for the 2nd petitioner to donate a part of her liver for the 1st petitioner. By Ext.P12 order, the 4th respondent had rejected the joint application, which order was confirmed by the 2nd respondent by Ext.P15 order.

5. The petitioners had challenged the said order before this Court in W.P(C).No.439/2025. By Ext.P20 judgment, this Court, after perusing Ext.P1 certificate and the affidavit of the ACP allowed the writ petition by making the following observations.

“9. In compliance with the above order, the Assistant Commissioner of Police has filed an affidavit stating that he had directed the Station House Officer of Pavaratty Police Station, to conduct an enquiry and also the 2nd petitioner to file an affidavit before him stating that there was no commercial dealings with the 1st petitioner. It is on the basis of the said material that he has issued Ext.P1 certificate.

10. Recently, in Ismail Kunju (supra) case, this Court had categorically held that, going by the scheme of the Act, the authorization committee is to pragmatically interview that parties and video-graph the interview and also give reasons for allowing or declining an application for approval under Rule 7(3) of the Rules, 2014.

11. In the case on hand, after going through the affidavit filed by the Assistant Commissioner of Police and Ext.P1 certificate of altruism, I am of the view that both the respondents 2 and 4 have failed to consider the impact of the said certificates in Exts.P12 and P15 orders. Hence, I am satisfied that the writ petition is to be al

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