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Maharashtra State Board of Technical Education

PHARMACY COUNCIL OF INDIA - EDUCATION REGULATIONS 1991 / 2020

Practical Training Contract Form For Pharmacists

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APPENDIX - E : CERTIFICATE OF PRACTICAL TRAINING
[See Regulation 20 and 21 of Education Regulations for Diploma in Pharmacy]
SECTION I : APPRENTICE DETAIL

This is to certify that KULKARNI MANASI SHRIRAM, Enrollment No: 2019240032, Seat No: 373037, residing at Maharashtra, has completed the academic course for the Diploma in Pharmacy from Government College of Pharmacy, Karad (1924) affiliated to Maharashtra State Board of Technical Education, Mumbai.

SECTION II : PRACTICAL TRAINING COMPLETION (500 HOURS)

I hereby certify that the above student underwent practical hospital training under my supervision in an approved hospital/dispensary/pharmacy:

• Duration of Training: 500 Hours spread over a period of not less than 3 months.
• Dispensing Experience: Not less than 250 hours devoted to actual dispensing of prescriptions.
• Training Details: Compounding, dispensing, patient counseling, reading prescriptions, storage of scheduled drugs, and maintenance of legal records.
Date of Completion: 25/10/2022
Registered Pharmacist / In-Charge Officer
Reg. No: 148292 / State Pharmacy Council
SECTION III : HEAD OF INSTITUTION CERTIFICATION

I hereby certify that KULKARNI MANASI SHRIRAM has fulfilled all academic and training requirements of the Diploma in Pharmacy course as prescribed by the Pharmacy Council of India and MSBTE. The student bears good moral character.

Date: 29/07/2022
Place: Pune
Principal / Head of Institution
Government College of Pharmacy, Karad
SECTION IV : BOARD ATTESTATION & REGISTRATION ELIGIBILITY

The candidate has passed the Final Year Diploma in Pharmacy Examination in SUMMER 2022 with FIRST CLASS and is eligible for registration as a Pharmacist under the Pharmacy Act, 1948.

Ref: MSBTE/PH/TRAINING/2022/373037
Mumbai, Maharashtra
SECRETARY
Maharashtra State Board of Technical Education