MODERN COLLEGE OF PHARMACY, KHURD (SANGRUR)
PRACTICAL TRAINING CONTRACT FORM FOR PHARMACIST
SECTION-I
This form has been issued to Mr./Ms ________________________________ Son/ Daughter of
Sh. _____________________________ Redg. No.___________________________ residing at
_________________________________________________ State _________________________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:_______________ (The Head of the Academic Training Institute)
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SECTION- II
I, ________________________________ (Name of Student Pharmacist) accept
________________________________ (Name of the Apprentice Master) of
________________________________ (Name of Institute/ 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.
_________________________________
(Student Pharmacist)
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SECTION- III
I, __________________________________________ (Name of the Apprentice Master) accept
______________________________ (Name of student pharmacist), as a trainee and I agree to give him/
her training facilities in my organization 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 of chief drugs and chemical substances used in medicine.
c) The reading, translation and copying of prescriptions including the checking of doses.
d) The dispensing of prescriptions illustrating the common methods of administrating medication and
e) The storage of drugs and medicinal preparations.
I also agree that a Registered Pharmacist shall be assigned for his/her guidance.
(Apprentice Master)
(Name and address of the Institute)
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SECTION- IV
I certify that Mr./ Ms.____________________________________ (Name of the student
pharmacist) has undergone ____________ hours training spread over _____________ months in
accordance with the details enumerated in SECTION III.
(Head of the organization of Pharmaceutical Division)
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SECTION- V
I certify that Mr./ Ms ___________________________________ (Name of the student pharmacist)
completed in all respect his practical training under regulations 20 of the education regulations framed
under section 10 of the Pharmacy Act, 1948. He/ She had his/ her practical training in an institution
approved by the pharmacy council of India.
Date:________________ (Head of the academic Institution)
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