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The voucher of Nepal Bangladesh Bank Bilulibazar A/C No. 040131 P should he attached with the application form. Each programme has to submit a self-assessment report in line with minimum requirement for the recognition of Diploma in Pharmacy Programmes along with the Pharmacy Programmes are available at the office of Nepal Pharmacy Council on payment of Rs 500/-. Application Form for Accreditation Of Diploma in Pharmacy Programme This application form is for accreditation of Diploma in Pharmacy Education Programmes. Each institute is required to fill out the separate form for each programme according to the given guidelines. The accreditation fee for Diploma in Pharmacy Programme is Rs. 80 000/ Rupees eighty thousand for four years period. For Accreditation Requested for Programme Name of the institution Date of Establishment Address A. Permanent- Zone District. Municipality/VDC Ward No*. B. Temporary- Zone District. Duration of the Programme. Number of intake per year Total Number of student. Date of the last Accreditation*. Supported by Trust/Society/Agency/Institution Full address of supporter. Address for correspondence Name. Designation Zone District. Tel* No*. Fax No* E-mail. Submission date of application. Official Stamp Signature of Applicant on behalf of institution Full Name Designation Date. Application Form for Accreditation Of Diploma in Pharmacy Programme This application form is for accreditation of Diploma in Pharmacy Education Programmes. Each institute is required to fill out the separate form for each programme according to the given guidelines. Each institute is required to fill out the separate form for each programme according to the given guidelines. The accreditation fee for Diploma in Pharmacy Programme is Rs. 80 000/ Rupees eighty thousand for four years period. For Accreditation Requested for Programme Name of the institution Date of Establishment Address A. Permanent- Zone District. Municipality/VDC Ward No*. B. Temporary- Zone District. Duration of the Programme. Permanent- Zone District. Municipality/VDC Ward No*. B. Temporary- Zone District. Duration of the Programme. Number of intake per year Total Number of student. Date of the last Accreditation*. Supported by Trust/Society/Agency/Institution Full address of supporter. Number of intake per year Total Number of student. Date of the last Accreditation*. Supported by Trust/Society/Agency/Institution Full address of supporter. Address for correspondence Name. Designation Zone District. Tel* No*. Fax No* E-mail. Address for correspondence Name. Designation Zone District. Tel* No*. Fax No* E-mail. Submission date of application. Official Stamp Signature of Applicant on behalf of institution Full Name Designation Date. Application Form for Accreditation Of Diploma in Pharmacy Programme This application form is for accreditation of Diploma in Pharmacy Education Programmes. Each institute is required to fill out the separate form for each programme according to the given guidelines. The accreditation fee for Diploma in Pharmacy Programme is Rs. 80 000/ Rupees eighty thousand for four years period.

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