Intern registeration Form

Intern Pharmacist KYC Form

Please fill in the details accurately. This helps us assess your readiness and support your training and placement journey in Australia.

👤 Personal Information

First Name

Last Name

Date of Birth

Phone Number

Gender

Nationality

Email Address

Current Country

📚 Education & Registration

Pharmacy Degree

University Name & Country:

Graduation Year:

KAPS / OPRA Passed (Year):

PTE Score (Overall & Bands):

AHPRA Application / Registration Year:

AHPRA Status:

💼 Experience

Total Pharmacy Experience (in years):

Countries Worked In:

🔗 Additional Information

Used Any Recruitment Service Before?

Any Relative in Australia?

Marital Status:

Do you have children? If yes, how many?

How Did You Hear About Auxe Pharma?

Please specify if referred by someone:

Resume / CV

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Intern Pharmacist KYC Form

Please fill in the details accurately. This helps us assess your readiness and support your training and placement journey in Australia.

👤 Personal Information

📚 Education & Registration

💼 Experience

🔗 Additional Information

Auxe Pharma

Quick Links

Home

For Employers

For Pharmacists

Training Program

Contact Us

+61 (2) 1234 5678

contact@auxepharma.com

Sydney, Australia

Our Services

Pharmacy Recruitment

Pharmacist Training

Visa Assistance

Career Support

Relocation Services