This confirms that the Pharmacy Examining Board of Canada has received a Pharmacist Evaluating

Examination application and total fee of  $______________ from:

Name _____________________________________________________________________

Address ___________________________________________________________________

__________________________________________________________________________

Please complete the above information and include a self-addressed, stamped envelope (within Canada) or a self-addressed envelope and an International Postage Reply coupon (outside of Canada).

Please Note:  Application receipt acknowledgement will NOT be provided by phone, fax or email.