ADVANCE MEDICAL DIRECTIVE / LIVING WILL
(Executed in Accordance with Article 21 of the Constitution of India & Supreme Court 2023 Order in Common Cause v. Union of India)

I, Rajesh Kumar Sharma, aged 58 years, residing at Mumbai, Maharashtra, holding ID / Aadhaar ending in XXXX-XXXX-4829, being of sound mind, clear understanding, and free from any undue influence, coercion, or constraint, do hereby make and declare this Advance Medical Directive (Living Will) on this day.

1. DECLARATION OF INTENT & ARTICLE 21 RIGHT
I affirm my fundamental right to self-determination and bodily autonomy under Article 21 of the Constitution of India, which encompasses the Right to Die with Dignity. Should I reach a medical condition where I am permanently incapacitated, terminally ill with no reasonable prospect of recovery, or in a Persistent Vegetative State (PVS) as certified by competent medical boards, this directive shall govern my medical treatment.

2. SPECIFIC HEALTHCARE PREFERENCES & INSTRUCTIONS
In the event of terminal illness, irreversible brain damage, or persistent vegetative state:
a) Artificial Mechanical Ventilation: I REFUSE the initiation or continuation of artificial mechanical ventilation or life-support systems.
b) Cardiopulmonary Resuscitation (CPR): I REFUSE Cardiopulmonary Resuscitation (CPR), electric shocks, or invasive artificial cardiac resuscitation.
c) Artificial Feeding & Hydration: I REFUSE artificial nutrition and hydration through nasogastric tubes or IV lines if it only prolongs the dying process.
d) Palliative Care & Pain Management: I DEMAND that maximum palliative care, pain relief medication, and comfort care be administered at all times, even if such medication inadvertently hastens natural death.
e) Organ Donation: I EXPRESS MY CONSENT to donate my organs/tissues for therapeutic or transplant purposes upon brain stem death.

3. APPOINTMENT OF HEALTHCARE PROXIES (MEDICAL POWER OF ATTORNEY)
I hereby nominate and appoint the following individuals as my Healthcare Proxies authorized to present this directive to treating medical authorities and ensure its enforcement:

PRIMARY HEALTHCARE PROXY:
- Name: Sunita Sharma
- Relationship: Spouse
- Contact Number: +91 98765 43210

ALTERNATE HEALTHCARE PROXY (In case Primary Proxy is unavailable or unable to act):
- Name: Amit Sharma
- Relationship: Son
- Contact Number: +91 98123 45678

4. ATTESTATION & LEGAL EXECUTION (SUPREME COURT 2023 REVISED BENCHMARK)
In compliance with the Supreme Court order dated January 24, 2023 (modifying the 2018 judgment in Common Cause v. Union of India):
- This directive is signed in the presence of TWO (2) independent attesting witnesses.
- This document is attested before a REGISTERED NOTARY PUBLIC, replacing the earlier cumbersome requirement of Judicial Magistrate attestation.
- A copy of this directive may be deposited with the local Municipal Custodian or Local Health Authority for preservation in digital/physical records.

5. REVOCATION CLAUSE
I reserve the absolute right to revoke, modify, or cancel this Advance Medical Directive at any time during my lifetime, provided I am in a conscious and decision-making capacity.

IN WITNESS WHEREOF, I have set my hand and signature to this Advance Medical Directive.

____________________________________
Signature of Executant (Rajesh Kumar Sharma)
Date: ________________________
Place: ________________________

WITNESS ATTESTATION (2 Independent Witnesses):
Witness 1: Name: _______________________ Sign: __________________ Address/ID: _______________________
Witness 2: Name: _______________________ Sign: __________________ Address/ID: _______________________

OFFICIAL ATTESTATION BEFORE NOTARY PUBLIC:
Attested on this ____ day of ______________, 20__ before me.
Seal & Registration Number: ___________________________
Signature of Notary Public: ___________________________