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
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.
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)
