Appendix-E
[See regulations 21 (1)]
PRACTICAL TRAINING CONTRACT FORM FOR PHARMACISTS
SECTION I
This form has been issued______________________________________________________
(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:
Principal
SECTION II
I_________________________________________________________________ accept------------------------
(Name of the Student Pharmacist)
---------------------------------------------------------of---------------------------------------------------------------------------------
(Name of the Apprentice Master) (Name of the 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.
(Student Pharmacist)
SECTION III
I,__________________________________________________accept-----------------------------------------------------
(Name of the Apprentice Master) (Name of the student pharmacist)
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 reading, translation and copying of prescriptions including the checking of doses;
(c) the dispensing of prescriptions illustrating the commoner methods of administering medicaments; and
(d) the storage of drugs and medicinal preparations
I also agree that a Registered Pharmacist shall be assigned for his /her guidance
(Apprentice Master)(Name & address of the Institution)
SECTION IV
I certify that ________________________________________________________ _ (Name of student pharmacists)
has undergone ____________hours training spread over ____________months in accordance with the details
enumerated in SECTION III
Head of the Organisation or Pharmaceutical Division)
SECTION V
I certify that ________________________________________________________________________has
(Name of student pharmacists)
completed in all respect his practical training under regulation 20 of the Education Regulations framed under
section10 of the Pharmacy Act, [Link] had his practical training in an Institution approved the Pharmacy Council
of India.
Date:
(Head of the Academic Institution)