JOB FAIR REGISTRATION
Email
*
Title
*
Mr.
Mrs.
Ms.
Dr.
Prof.
Rev.
Sir
Lady
Full Name
(as per academic records)
*
Address Line 1
*
Address Line 2
Pin Code
*
Phone Number
*
Date of Birth
*
Highest education qualification
*
D.Pharm
B.Pharm
Pharm D
M.Pharm
Research Scholar
Ph.D
Other
Specialization in the case of MPharm/Ph.D
Pharmaceutical chemistry
Pharmaceutics
Pharmacology
Pharamcognosy
Pharmacy Pracitce
Others
Name of the college from where D.Pharm/B.Pharm course completed/studying
Name of the college from where B.Pharm/M.Pharm course completed/studying
If you are a member of IPA/IPA SF , Please give the membership number
Job of Option(Maximum 4)
Preference 1
Community Pharmacist
Hospital Pharmacist
Pharmaceutical Indusrtyr - Production
QA / RA
CRO - PV / Clinicl trails / technical writing
Higher education
Clinical Pharmacist
Quality Control
Marketing
Teaching
Other
Preference 2
Community Pharmacist
Hospital Pharmacist
Pharmaceutical Indusrtyr - Production
QA / RA
CRO - PV / Clinicl trails / technical writing
Higher education
Clinical Pharmacist
Quality Control
Marketing
Teaching
Other
Preference 3
Community Pharmacist
Hospital Pharmacist
Pharmaceutical Indusrtyr - Production
QA / RA
CRO - PV / Clinicl trails / technical writing
Higher education
Clinical Pharmacist
Quality Control
Marketing
Teaching
Other
Preference 4
Community Pharmacist
Hospital Pharmacist
Pharmaceutical Indusrtyr - Production
QA / RA
CRO - PV / Clinicl trails / technical writing
Higher education
Clinical Pharmacist
Quality Control
Marketing
Teaching
Other
Registration Fee Remitted
*
₹400
₹350
(In the case of IPA/IPASF member)
Registration fee has to be paid to the bank account given below:
Account Name: Indian Pharmaceutical Association Kerala
Account No: 00000040547469201
State Bank of India
Medical College Branch
Thiruvananthapuram-695011
IFSC Code: SBIN0070029
Upload the Bank/Google Pay Transaction Receipt
*
UPLOAD FILE
Click to enlarge
Upload 1 supported file(jpeg, jpg or png) Max 10 MB.
Undertaking
I hereby declare that the details given above are true and correct to the best of my knowledge and agree to participate in the Job Fair with updated CV and copy of certificates available
Submit
