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Pre-Reg Pharmacist Application Form (2018/19)
Please attach your C.V. using the section at the bottom of the form.
Date of birth
Home Address and Post Code
Term-Time Address & Post Code (if applicable)
Do you require a Visa to complete your pre-reg year in the UK ? (Applicable if you are a non EU National)
Mobile phone number
School of Pharmacy attended
When do you expect to complete your degree course ?
What subjects in the Pharmacy Degree Course Interest you most ?
Describe what you think the role of todays' Community Pharmacist is ?
Please give details of any work experience you have had which you feel would be relevant to working in a Community Pharmacy ?
Do you have a driving licence ?
ATTACH A FILE
Please use this section to attach your C.V. and any other information you wish to support your application.
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