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ใบสมครเลขท………………………. เลขทสมคร ……………………..
ใบสมครเขารบการฝกอบรมเปนผมความรความช านาญ ในการประกอบวชาชพเภสชกรรม สาขาการคมครองผบรโภคดานยาและสขภาพ
หลกสตรเภสชกรรมปฐมภม : เภสชกรรมครอบครวและชมชน
ชอผสมคร (ภญ./ภก.)………………………………………………………………………………. ใบประกอบวชาชพเภสชกรรม/หรอใบประกอบโรคศลป เลขท ภ. .................................................... ทอยส าหรบการตดตอ ................................................................................................................................................................ ................................................................................................................................................................ โทรศพท ....................................... โทรสาร …………………………………โทรศพทมอถอ………………... E-mail address : ..............................................................................Line ID……………………….…. 1. ประวตสวนตว
ต าแหนงปจจบน............................................................................................................................ หนวยงาน….................................................................................................................................... ........................................................................................................................................................ โทรศพท……........................................โทรสาร……................………………
2. ประวตการศกษา ระดบการศกษา สาขาวชา สถาบน ป พ.ศ. ทไดรบ ปรญญาตร…………………………………………………….........................………………………………………………………… ปรญญาโท………………………………………………………….......................…………………………………………………….. ปรญญาเอก………………………………………………………….....................…………………………………………………….. อน ๆ………………………………………………………………….......................…………………………………………………….
วคบท 1
ตดรปถาย ขนาด 1 นว
๒
3. ประวตการท างาน สถานทประกอบวชาชพ ต าแหนง หนาทรบผดชอบ/ปฏบตชวงเวลา (ป พ.ศ. – ป พ.ศ.)
………………………………………………………………………………………………………………..………………………………………………………………………………………………………………..………………………………………………….…………………………………………………………………………….………………………………..……………………………………………………………………..………………………………………………………………………………………………...................................................... 4. สถานททปฏบตงานดานเภสชกรรมปฐมภม หรอ หนวยบรการปฐมภม (Primary Care Unit ; PCU)
หรอ เครอขายหนวยบรการปฐมภม (Network Primary Care Unit: NPCU) โรงพยาบาล............................................................................................................................ ทตง........................................................................................................................................
5. การสมครเขารบการฝกอบรมในครงน ขาพเจาขอรบรองวา 5.๑ ไดรบอนมตจากผบงคบบญชาใหเขารบการฝกอบรมเรยบรอยแลว 5.๒ ขาพเจาสามารถเขารบการฝกอบรมไดตลอดหลกสตร และ พรอมทจะปฏบตตามขอก าหนดและเงอนไขในการฝกอบรมทกประการ และ ไดรบทราบแลววา กรณทไมปฏบตตามขอก าหนดหรอเงอนไข สภาเภสชกรรม จะรายงานใหหนวยงานตนสงกดทราบ 5.3 ผบงคบบญชาไดรบทราบและอนมตใหเบกคาใชจายในการเดนทางเขาฝกอบรม และ เบยเลยงในชวงการฝกอบรมตามสทธจากหนวยงานตนสงกดตลอดหลกสตรการฝกอบรม
ลายมอชอผสมคร…………………………………..…………………. (…………………………………………………….)
ต าแหนง……………………………………………………. วนท………...เดอน…………………..พ.ศ…………