Locum Registration
  • Your personal details:
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  • Surname*
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  • First Name*
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  • Telephone number*
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  • Email address*
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  • Address
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  • Address 1*
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  • Address 2*
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  • City*
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  • Post code*
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  • Education & Professional Qualifications
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  • Secondary School / College / University /*
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  • From / To*12/03/1996 - 01/02/2003
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  • Subjects*e.g. Maths
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  • Results*e.g. MMath (Hons)
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  • Secondary School / College / University /*
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  • From / To*12/03/1996 - 01/02/2003
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  • Subjects*e.g. Maths
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  • Results*e.g. MMath (Hons)
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  • *
    Add more qualifications?
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  • Pharmacy positions of interest*
    Accuracy Checking Technician
    Dispensing Assistant
    Healthcare Assistant
    Locum Dispenser/Technician
    Locum Pharmacist
    Pharmacist
    Pharmacy Manager
    Pharmacy Technician
    Superintendent Manager
    Support Pharmacist
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  • Professional Qualifications Currently Held: How obtained, grade/results and Date*
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  • Status with the General Pharmaceutical Council: (Pharmacists & Registered Technicians only)
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  • *General Pharmaceutical Council Registration Number:
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  • *Date of first registration with GPhC or RPSGB:
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  • Are you in good standing with the General Pharmaceutical Council*with no previous or pending fitness to practise concerns (including with the earlier RPSGB)?
    Yes
    No
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  • References
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  • Reference #1 Name*full name
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  • Type of referee*(Employer/Professional/Personal)
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  • Title*(Mr,Mrs etc)
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  • Job Title*
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  • Organisation*
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  • Address*
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  • Postcode*
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  • Email*a valid email address
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  • Telephone Number*valid contact number
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  • Please state if we may obtain this Reference*
    Yes
    No
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  • Reference #2 Name*full name
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  • Type of referee*(Employer/Professional/Personal)
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  • Title*(Mr,Mrs etc)
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  • Job Title*
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  • Organisation*
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  • Address*
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  • Postcode*
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  • Email*a valid email address
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  • Telephone Number*valid contact number
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  • Please state if we may obtain this Reference*
    Yes
    No
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  • Please upload your CV here*OptionalUpload
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