Pharmacist Job Seekers

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Name *

First

Last

Address

Phone *

(Please indicate business, mobile, home)

Email *

Date of Birth

Gender

Year of Registration

Pharmacy Board Registration No.

Do you have an ABN?

Tax File No.

Dispensary Computer Systems with which you are competent:

POS Computer Systems with which you are competent:

Please briefly list work history:

Please list three pharmacy referees:

Name and Contact No.

Are you interested in a permanent position?

Are you prepared to work in weekly blocks?

Do you have your own car?

Are you prepared to travel to rural areas?

Please supply details of work availability – days and times

eg Monday 8am - 5pm

Completion of this registration form indicates acceptance of all terms and conditions as outlined on the attached Agreement. *

Website

You can view and download the Agreement here

Alternatively, you can also register using this Interactive PDF Pharmacist Form