Online-Certificate requirement for the inhousecourse "clean working"
Trainer
Teacher (Firstname, Name) :
Membership Number:
Pharmacy/ Hospitalname/ Adress:
Trainingsdate:
Trained Persons
Person No. 1
Name:
Firstname:
Date of birth:
Person No. 2
Name
Firstname:
Date of birth:
Person No. 3
Name:
Firstname:
Date of birth:
Person No. 4
Name:
Firstname:
Date of birth:
Person No. 5
Name:
Firstname:
Date of birth:
I confirm that the trainig has been carried out :
E-Mail:
Clean work Training Kit
in colaboration with