CPD Application

Welcome. Dear CPD Provider please filled the forms below with all the details. The place having an * is compulsory.

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Name of Applicant *

First

Last

Name of CPD Provider *

Position / Job tittle

Email *

Phone Number (Preferential Mobile)

Tittle of the CPD Events

Date of the CDP Event

Number of Seats Available

Target Audience

Request CPD Points *

• 1 CPD point for 1 hour of effective work
• 2 CPD points for 3 hour of effective work
• 4 CPD points for 5 hours of effective work

Method *

• Online
• In Person
• Others

Venue (If above option has in person):

Name of Speaker(s) and Biodata

Synopsis of CPD event

Learning Objective(s) :-

Learning Outcome(s) :-

Hereby you confirm knowing about the CPD Guidelines as per the Pharmacy Council of Mauritius and undertake to follow it. ( Go to the Link to get the Guidelines : https://www.pharmacycouncilmu.org/guidelines-for-cpd-providers ) *

• Yes, I will follow the Guidelines
• No, I will not follow the Guidelines

Estimated cost for the event that each pharmacist will have to pay: *

Submit

Please note that the processing time may be a minimum of 4 weeks.