SURENDERA PHARMACY COLLEGE, SRI GANGANAGAR (RAJ.
)
PRACTICAL TRAINING CONTRACT FORM FOR PHARMACISTS
SECTION I
This form has been issued to Mr./Ms……………………………………………………………….……………………………………………….
(Name of the student pharmacist)
Son of /daughter of Shri……………………………………………………………………………………………………………………………….residing at
…………………………….........................................................……………………………who has produced evidence before me that he/
She is entitled to receive the Practical Training as set out in the Education Regulation 2020 made under Section 10 of the
pharmacy Act. 1948.
Date: The Head of Institution Imparting Practical Training
SECTION II
I, ……………………………………………………………………………………………………………………………………………………………accept
(Name of the student pharmacist)
Mr./Ms……………………………………………………………………………of………………………………………………………………………………………….
(Name of the Apprentice master) (Name of the institution)
……………………………………………………………………………………………………………………………………………………………………………………….
(Hospital or pharmacy)
as my Apprentice master for the above training and agree to obey and respect him/her during the entire period of my
training.
……………………………………………
(Student Pharmacist)
SECTION III
I.…………………………………………………………………….…….accept…………………………………………………………………………..as a
(Name of the Apprentice master) (Name of the student pharmacist)
trainee and I agree to give him/her training facilities in my organization so that during his/her training he /she may acquire:
1. Working knowledge of keeping of records required by the various Acts affecting the profession of pharmacy; and
2. Practical experience in:-
(a) Stocking of Drugs and Medical Devices
(b) Inventory control procedures
(c) Handling of prescriptions
(d) Dispensing
(e) Patient counseling
I also agree that a Registered Pharmacist shall be assigned for his/her guidance.
(Apprentice master)
(Name and address of the institution)
SECTION IV
I certify that Mr………………………………………………has Undergone……….… hours training spread over……..months in
(Name of the student pharmacist) (……………………….to…………………………)
accordance with details enumerated is Section III.
(The Head of Institution Imparting Practical Training)
SECTION V
I certify that Mr……………………………………………………….has completed in all respect his practical training under
(Name of the student pharmacist)
regulation 18 of the Education Regulations, 2020 made under section 10 of Pharmacy Act,1948. He had his practical
training in an institution approved by the Pharmacy Council of India.
Date: (Head of the Academic Institution)