Foundation programme – Designated supervisor training 2021/2022 enrolment form

Are you a NPA member?*
- Yes
- No
NPA Member No:
Supervising Pharmacist/Designated Supervisor Full Name*
Prefix First Last
GPhC No*
Email
Telephone number*
Pharmacy Name*
Pharmacy Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code
Today's date
Date Format: MM slash DD slash YYYY
Payment terms
For NPA Member designated supervisors who enrol a trainee pharmacist on to the NPA’s Foundation training programme, the course is free of charge. For non-members or designated supervisors who have not enrolled a trainee pharmacist on the NPA’s Foundation training programme, the training course is £40 +VAT.
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Terms of Service*
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Payment terms