PHARMACIST REGISTRATION FORM

PHARMACIST REGISTRATION

Please complete the pharmacist registration form below so we can process your application.
(* denotes a required field)

Pharmacist Registration

YES
NO
I confirm that I am IR35 compliant and responsible for my own Tax and National Insurance Contributions
Public Transport
Car/Motorbike
Walking
Bicycle
Please check this box to confirm that you have read and agree to the Capital Locum pharmacist terms and conditions.
Please check this box to confirm that you have read and agree to the Capital Locum data and privacy policy.
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