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Employer Registration Form (Intern Pharmacist Only)
Please complete this form to help us match you with qualified intern pharmacists trained by Auxe Pharma.
👤 Contact Person
Full Name:
Role / Position:
Phone Number
Email Address
🏬 Pharmacy Details
Pharmacy Name:
Address:
ABN:
👥 Intern Pharmacist Requirements
Are you currently hiring an intern pharmacist?
Preferred Start Date:
Number of Interns Required:
Candidate Preference:
Choose an option
🧠 Expectations
Dispensing Software Used:
Key Qualities Expected:
Additional Notes (Optional):
Submit
Successfully Submitted
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