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    Nomination Form For IPSF Pharmacy Education Ambassador

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    Carly Stoneman
    The document is a nomination form for IPSF Pharmacy Education Ambassadors. It requests the nominee's personal information including name, pharmacy school, year of study, association, country, contact information like email, phone number, Skype ID, postal address. It also states that the completed form should be submitted to the Chairperson of Pharmacy Education and Pharmacy Education Research Coordinator by February 28th, 2014 after consulting the IPSF Contact Person in the nominee's country.

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    Nomination Form For IPSF Pharmacy Education Ambassador

    Uploaded by

    Carly Stoneman
    41 views1 page
    The document is a nomination form for IPSF Pharmacy Education Ambassadors. It requests the nominee's personal information including name, pharmacy school, year of study, association, country, contact information like email, phone number, Skype ID, postal address. It also states that the completed form should be submitted to the Chairperson of Pharmacy Education and Pharmacy Education Research Coordinator by February 28th, 2014 after consulting the IPSF Contact Person in the nominee's country.

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    Nomination Form for IPSF Pharmacy Education Ambassador

    Original Title

    Nomination Form for IPSF Pharmacy Education Ambassador

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    The document is a nomination form for IPSF Pharmacy Education Ambassadors. It requests the nominee's personal information including name, pharmacy school, year of study, association, country, contact information like email, phone number, Skype ID, postal address. It also states that the completed form should be submitted to the Chairperson of Pharmacy Education and Pharmacy Education Research Coordinator by February 28th, 2014 after consulting the IPSF Contact Person in the nominee's country.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    41 views1 page

    Nomination Form For IPSF Pharmacy Education Ambassador

    Uploaded by

    Carly Stoneman
    The document is a nomination form for IPSF Pharmacy Education Ambassadors. It requests the nominee's personal information including name, pharmacy school, year of study, association, country, contact information like email, phone number, Skype ID, postal address. It also states that the completed form should be submitted to the Chairperson of Pharmacy Education and Pharmacy Education Research Coordinator by February 28th, 2014 after consulting the IPSF Contact Person in the nominee's country.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
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    Download as docx, pdf, or txt
    of 1

    Nomination Form for IPSF Pharmacy Education (PE) Ambassadors

    1.

    2.

    Personal Information :
    a. Name

    ______________________________________________________

    b. Pharmacy School

    ______________________________________________________

    c. Year of Study

    ______________________________________________________

    d. Association

    ______________________________________________________

    e. Country

    ______________________________________________________

    a. E-mail address

    ______________________________________________________

    b. Telephone Number

    + ___

    c. Skype ID

    ______________________________________________________

    d. Postal Address

    ______________________________________________________

    Contact Information

    (country code)

    _______________________________________

    ______________________________________________________
    ______________________________________________________

    Please consult IPSF Contact Person in your country and submit the completed nomination
    form to the Chairperson of Pharmacy Education (education@ipsf.org) and Pharmacy
    Education Research Coordinator (research@ipsf.org) no later than Friday, 28th February
    2014.

    IPSF Secretariat: Andries Bickerweg 5, P.O. Box 84200, 2508 AE The Hague, The Netherlands.
    Tel: +31-70-302 19 92 - Fax: +31-70-302 19 99 - Email: ipsf@ipsf.org - Website: www.ipsf.org
    Registered under Dutch Law: 40413709

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