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FARMACISTI DISOCCUPATI E/O DISPONIBILI

POPULATION AND PROFESSIONAL PROFILE

The form can be submitted via fax (080/5421683), or via E-mail to ordfarma@ordinefarmacistibari.it or by mail, "Order of Pharmacists of the Province of Bari Via Devitofrancesco 4 / C - 70124 Bari.
The module will remain valid for 12 months from the date of issue, unless notice of the Order.
After this period, if you want to keep alive the request, you must submit another form.


Last Name ___________________________ ___________________________________
_______________________________________( e-mail address )___________________________
local council ______________________________________ Zip _________ Prov. ______
Phone (with area code) ___________________________
Sex MF Date of Birth ____________ Marital Status Married Unmarried
Year of graduation ____________ degree mark (optional) _________/110
provincial association membership current date _________________________ inscription. Register
_________ Length of labor use drugs before 2 years Availability Full time Part
well. Immediate Availability
time only for specific advice
(eg. galenic preparations, recipes, accounting, inventory, etc.).
Willingness to relocate within the province
"regional
" national
Specific knowledge Herbalist Homeopathic Preparations Cosmetics Magistrali / galenic
Specialties: _________________________________________________________________
Languages \u200b\u200bComputer
References ___________________________________________________________________ _________________________
Other professional experience ______________________________________________________________

possible inclusion in the placement lists by ______________________ * (for the unemployed) ________________________________________
Possible activities currently carried out (for available)

The undersigned, as the Decree of 30 June 2003, n. 196 - Code for the protection of personal information, authorizing the publication and dissemination of personal data.



Date ____________________ _____________________________________ (Signature)