Scribd
Upload
5K views2 pages

Practical Training Form - Appendix D

This document is a Practical Training Contract Form for pharmacists, outlining the agreement between a student pharmacist and their apprentice master. It includes sections for the student's acceptance of the apprenticeship, the apprentice master's responsibilities, and certification of the training hours completed. The form ensures compliance with the Education Regulations, 2020 under the Pharmacy Act, 1948.

Uploaded by

Harshit Shukla
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
5K views2 pages

Practical Training Form - Appendix D

This document is a Practical Training Contract Form for pharmacists, outlining the agreement between a student pharmacist and their apprentice master. It includes sections for the student's acceptance of the apprenticeship, the apprentice master's responsibilities, and certification of the training hours completed. The form ensures compliance with the Education Regulations, 2020 under the Pharmacy Act, 1948.

Uploaded by

Harshit Shukla
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

Appendix-D

PRACTICAL TRAINING CONTRACT FORM FOR PHARMACISTS

SECTION I

This form has been issued to____________________________________________


(Name of student pharmacist) son of /daughter of______________ residing at
______________________ who has produced evidence before me that he/she is
entitled to receive the Practical Training as set out in the Education Regulations,
2020 made under section 10 of the Pharmacy Act, 1948.

Date: The Head of Institution imparting


practical training

SECTION II

I_______________________________________ (Name of the Student Pharmacist)


accept _________________________________(Name of the Apprentice Master) of
_______________________________________________(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.

Date: (Student Pharmacist)

SECTION III

I,____________________________________ (Name of the Apprentice Master)


accept ___________________________________(Name of the student pharmacist)
as a trainee and I agree to give him /her training facilities in my organisation 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

Cont…
-2-

2. Practical experience in -
1) Stocking of Drugs and Medical Devices
2) Inventory control procedures
3) Handling of prescriptions
4) Dispensing
5) Patient counseling

I also agree that a Registered Pharmacist shall be assigned for his /her guidance.

Date: (Apprentice Master)


(Name & address of the Institution)

SECTION IV

I certify that ________________________________(Name of student pharmacists)


has undergone ____________hours training spread over ____________months in
accordance with the details enumerated in SECTION III.

Date:
____________________________________
(The Head of Institution imparting
practical training)

SECTION V

I certify that _______________________________(Name of student pharmacists)


has completed in all respect his practical training under regulation 18 of the
Education Regulations, 2020 made under section 10 of the Pharmacy Act, 1948. He
had his practical training in an Institution approved by the Pharmacy Council of
India.

Date:
_____________________________
(Head of the Academic Institution)

You might also like