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    Parth Oza
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    This registration form is for a refresher course for pharmacists sponsored by the Gujarat State Pharmacy Council. It collects contact information from applicants such as name, date of birth, qualifications, registration number, employer details, and contact information. Along with the completed form, applicants must provide a copy of their last renewal receipt and registration certificate.

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    Emotional intelligence

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    R course

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    This registration form is for a refresher course for pharmacists sponsored by the Gujarat State Pharmacy Council. It collects contact information from applicants such as name, date of birth, qualifications, registration number, employer details, and contact information. Along with the completed form, applicants must provide a copy of their last renewal receipt and registration certificate.

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    © All Rights Reserved
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    14 views1 page

    R Course

    Uploaded by

    Parth Oza
    This registration form is for a refresher course for pharmacists sponsored by the Gujarat State Pharmacy Council. It collects contact information from applicants such as name, date of birth, qualifications, registration number, employer details, and contact information. Along with the completed form, applicants must provide a copy of their last renewal receipt and registration certificate.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Annexure-II

    Registration Form
    (Refresher Course for the Pharmacist)
    Sponsored by :
    GUJARAT STATE PHARMACY COUNCIL
    Block No. 4/A, 3rd Floor, Old Nursing College Building,
    Opp. Cancer Hospital, Gate No. – 6, Civil Hospital Campus, Asarva, Ahmedabad-380016

     Name : _____________________________________________________
     Date of Birth : _______________ Age : ___________
     Qualification: ________________ Designation : ________________________
     Reg. No. : _________________ Date of last Renewal __________________
     Renew up to :
     Name and Address of present Institute / Organization :
    ______________________________________ ___________
    ______________________________________ ___________
     Address of communication :
    ______________________________________ ___________
    ______________________________________ ___________
     Contact No. : (M) _________________ ( O) __________________________
     E-mail Id :

    Date: Signature of the Applicant

     Documents required :
    1. Copy of last renewal receipt
    2. Copy of Registration Certificate

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