Pharmacy Professional Sponsorship Scheme Confirmation Of Attendance Form printable pdf download

Pharmacy Professional Sponsorship Scheme Confirmation Of Attendance Form

Pharmacy Professional Sponsorship Scheme

Confirmation of attendance form

This form provides evidence that the pre-registration trainee pharmacist has commenced or is continuing to attend the pre-

registration post for which they have been sponsored. Monitoring is a Home Office UK Visas and Immigration (UKVI)

requirement and failure to provide confirmation of attendance may result in withdrawal of visa sponsorship for the individual.

This information will be held in accordance with the Data Protection Act 1998.

Confirmation of attendance declaration

This is to confirm that the pre-registration trainee pharmacist detailed below (tick as appropriate)



commenced their pre-registration training on

_____________________________ (dd/mm/yyyy)



is continuing to undergo pre-registration training



has left the pharmacy on _____________________________ (dd/mm/yyyy)

Pre-reg trainee details

Name:

Date of birth (dd/mm/yyyy):

Pharmacy details

Name:

Address:

City/town:

County:

Postcode:

Pre-reg tutor/employer details

Name:

(or, in their absence, the

GPhC number:

Responsible Pharmacist details)

Email:

Signature:

Date

PPSS confirmation of attendance form 2016/17

Pharmacy Professional Sponsorship Scheme Confirmation Of Attendance Form