CE Activity Form PHARMACIST’S RECORD OF CONTINUING EDUCATION (CE) ACTIVITIESPharmacist´s NameFirst Name *Middle Initial *Surname *Reg# *Contact Number *RecordsDate of ActivityName of ProviderEvent/Seminar/Workshop/Conference/OtherVenue/LocationCredits AwardedTo be verified by the applicant with the respective provider(s).Total Number of CreditsThis form is to be submitted along with the application for re-registration as a pharmacist on or before March 1st in any given registration year, and is intended for use as a tracking device.Signature *Start signing your signature hereYour browser does not support e-Signature field.Submit Form