APPENDIX —E
PRACTICAL TRAINING CONTRACT FORM FOR
PHARMACISTS SECTION - I
This form has been issued to Sri/Smt.
(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 framed under section 10 of the Pharmacy Act, 1948.
Date:
Head of the Academic
Training Institution
SECTION - II
(Name of the Student Pharmacist)
accept _ (Name of the Apprentice Master) of
_ (Name of the College /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: Sigpature of the Student Pharmacist
SECTION — III
I, (Name of the Apprentice Master)
accept Sri / Smt.
(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) the manipulation of pharmaceutical apparatus in common use;
(b) the recognition by sensors characters of chief crude drugs & chemical substance
used in medicine
(c) the reading, translation and copying of prescriptions including the checking of doses;
Cont. ..
-2-
(d) the dispensing of prescriptions illustrating the commoner methods of administering
medicaments; and
(e) the storage of drugs and medicinal preparations.
I also agree that a Registered Pharmacist shall be assigned for his /her guidance.
Date: Head of the Organization or
Pharmaceutical Division
SECTION - IV
I certify that (Name of student
pharmacist) has undergone hours training spread over from Date
to for a period of months in accordance with
the details enumerated in SECTION III
Date: Head of the Organization or
Pharmaceutical Division
SECTION - V
I certify that (Name of student
pharmacist) has completed in all respect his poetical training under regulation 20 of the Education
Regulations framed under section 10 of the Pharmacy Act, 1948. He had his poetical training in an
Institution approved the Pharmacy Council of India.
Date: Head of the Academic
Training Institution
NOTE:
1) Each & every Sections sheuld be filled in with rorr«ction information, signed & sealed with the
authorized person with mentioning the dates.
2) The practical training shall be not less than five hundred hows spread over a period ofnot less than
three months. Mention the period oftraining in DD/MM YYYY format only
3) The head of an academic training institution, on application, shall supply in triplicate ’Practical
Training Contract Form for qualification as a Pharmâcist
4) After successful completion of the practical training, It shall be the respo tsibility of the trainee to
ensure that one copy lfiere:inafter referred to as the first copy of the Cântract Form) so filled is
submined to the Head of the academic training institution and the other two copies {hereinafter
refe:rred to as the Second cop and the third copy) shall be filed with the trainee.
