Professional Documents
Culture Documents
Screenshot 2021-11-12 at 10.18.58 AM
Screenshot 2021-11-12 at 10.18.58 AM
Screenshot 2021-11-12 at 10.18.58 AM
The payment link in the email will be valid for 28 days. If you need
any additional time to pay the fee, please email us at
registers@pharmacyregulation.org. Make sure you give your name,
pharmacy postcode and the type of application you have submitted so
we can find and update your application promptly.
2. The outcome of your application
If your application is successful, we will send you a letter to confirm
that you are eligible to complete an OSPAP course. We will notify the
university/ies you have chosen as your preferred OSPAP course
provider
Applying that toyou
for eligibility areaneligible
complete to apply.
Overseas Pharmacists WeProgramme
Assessment may send(OSPAP)them other
2. Proof of identity
Tell us the details of the documents you are using as evidence of your
identity.
2.1 Your passport
a) Passport number
3. Registration qualification
Tell us the details of the qualification you completed to register as a
pharmacist, and the ENIC assessment of how this compares to a UK
pharmacy qualification. We will use this to verify the education that
you have completed and that you are eligible to complete an OSPAP
course.
a) Qualification title
6. Employment history
Tell us about your previous employment, starting from when you
were first able to work as a pharmacist. Continue on a separate sheet
if you need more space.
Please include the country as part of the address. If you did not work
as a pharmacist for a period, include any other work as well. If you
were not working, please include the dates of this break and give a
brief explanation (such as ‘maternity’ or ‘career break’ for example).
We may contact the organisations to verify the information you give
us.
6.1. Please
give your employment history, starting from when you
were first able to work as a pharmacist.
Employer’s name and address Job title From Until
(MMYY) (MMYY)
7. Referees
Give details of at least two referees who can support your
application. If you have been studying or working in the UK, you
should also include a third reference. See section 3 of the application
guidance to check who can be a referee. We will keep their contact
details as part of your application and may use them to contact your
referees.
7.1 Academic reference details
Referee name
Country
Country
8.1. Have you made any previous applications to either the GPhC
or former RPSGB, for any of the steps in the process leading
to registration as a pharmacist or pharmacy technician?
(This should include any previous applications for eligibility to
start an OSPAP course, or to register as a pharmacy technician,
for example)
Yes No
If you answered ‘yes’ above, please provide:
a) the date of your application (MM YYYY)
b) any application or registration reference you were given (if
you know it):
Signed Date
To the certifier:
By countersigning this application, you agree that the GPhC may
contact you to verify the information that you have provided. Please
fill in your details below.
Name:
Address:
Email:
______________________________________________________
(write the applicant’s full name)
and that this person has signed the form above in my presence.
The information I have provided is correct.
Signed:
Date:
of
________________________________________________________
________________________ (write your home address)
do solemnly and sincerely declare to the best of my knowledge and
belief, that at my birth I was given the name
______________________________________________________
on ____/_______/_______ in
_______________________________________
(insert the your date of birth, DD/MM/YYYY) ( insert the town)
Declaration B
I, ______________________________________________________
(write your name in full as it appears on your birth certificate)
of
________________________________________________________
________________________ (write your home address)
do solemnly and sincerely declare that since ____/_______/_______ I
have used, and in future will be
known by, the name of
______________________________________________________
(Insert the full name you are now using – this must be identical to that on your application for registration)
Declaration C
I, ______________________________________________________
(write your name in full as it is written on your birth certificate, or if you do not have one, as you have written it in declaration A)
of
________________________________________________________
________________________ (write your home address)
declare that all documents submitted with my application for
registration including the copy of the qualification certificate relate to
me. All versions of my name relate to one and the same person.
I, ______________________________________________________
(write your name in full as you want it to appear on your registration)
Page 8 of 27
Date:
Solicitor declaration
Declared at
________________________________________________________
___________________
(insert the address of your premises)
On this ____________________________________ day of
_____________________________________
before me
________________________________________________________
____________________
Signed: