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Enrolment form 2023
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Email
*
Your email
First Name
*
Your answer
Surname
*
Your answer
Country where you practice
*
Your answer
Please select one
*
England NHS
Rest of UK NHS
UK Private
Non UK
Name of hospital
*
Your answer
Job role
*
Pharmacist
Pharmacy technician
Job band (UK only)
*
Your answer
What is you current experience within ICU?
*
Your answer
Would you like to join for Certificate of Attendance or Competence?
*
Certificate of Attendance
Certificate of Competence
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