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Locum Registration
United Kingdom
Name
Date of Birth (dd/mm/yyyy)
Address
Country
---------
United Kingdom
Ireland
Region
---------
London
Midlands
North East
North West
Scotland
South East
South West
Wales
Yorkshire
Northern Ireland
Location
Post code
Transport
How far are you willing to travel? (Miles)
Happy to travel and stay over?
Mobile Number
Email
What regular days are you available?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Qualifications
Pharmacist
ACT
NVQ3
NVQ2
GPHC Registration number (if Applicable)
Which PMR systems you can use?
PharmaSys
Pharmacy Manager
Proscript
Nexphase
Compass
AAH Link
EMIS
SystmOne
RxWeb
JAC-NHS
Analyst
Mclernons- Northern Ireland Only
Passport
File cv
UK Visa page (if Applicable)
Visa Expires (dd/mm/yyyy)
File qualification
Proof of Qualifications (second file)
Do you have a DBS/CRB?
DBS Number (if applicable)
Date DBS expires (dd/mm/yyyy)
Professional Reference: Name
Professional Reference: Designation
Professional Reference: Telephone Number
Professional Reference: Email
Before you proceed with your application, it is mandatory that you are accredited in:
Dementia Friends (England and Wales)
CPPE Safeguarding Level 2 (England and Wales)
CPPE Risk Management Training (England only)
CPPE Children’s Oral Health Training (England only)
CPPE Sepsis (England only)
CPPE LASA (Look alike and Sound alike) – (England only)
NESA Accreditation (Wales only)
NADEX Code (Wales only)
Sepsis Accreditation (England only)
LASA Accreditation (England only)
If you need to apply for the accreditations listed above, please click on the links below:
Dementia Friends:
Open Link
Homepage to the CPPE website:
Open Link
CPPE Safeguarding Level 2 certificate:
Open Link
CPPE Risk Management Training:
Open Link
CPPE Children's Oral Health Training: :
Open Link
CPPE Sepsis Training:
Open Link
CPPE LASA Training:
Open Link
WCPPE NESA accreditation:
Open Link
National Insurance Number
Job role
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Pharmacy Assessor
Independent Prescribing Pharmacist
Locum Pharmacist
Locum Dispenser Technician
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