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
I…………………………………………………………………… (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:………………….. Signature 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;
(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 practical training under regulation 20 of the
Education Regulations framed under section 10 of the Pharmacy Act, 1948. He had his practical training
in an Institution approved the Pharmacy Council of India.
Date: ………………….. Head of the Academic Training Institution