Please fill out the form below to register a candidate for one of our courses.
Which course would you like to enrol the candidate onto?
---Pharmacy Assistant CourseMedicines Counter Assistant Plus Stock Control Course
Candidate Date of Birth:*
Does the candidate have a registered disability?*
NoYesPrefer Not To Say
Does the candidate require any additional support?*
If yes, someone from CIG will contact you to discuss support options.
---Prefer Not To SayWhite BritishWhite IrishCaucasianBlack BritishCaribbeanAfricanAny Other Black BackgroundAsian BritishIndianPakistaniBangladeshiChineseJapanese
Supervisor (Registered Pharmacist/Technician) Name:*
Supervisor GPhC Number:*
Data Protection Statement:*
Once you have registered and clicked on the “Submit” button, we will contact you for payment before sending out course materials.