Form #100-Q - Acknowledgement of Receipt of Application
This verifies that The Pharmacy Examining Board of Canada has received your Pharmacist Qualifying Examination application for:
Part I (MCQ) Fee of $__________
Part II (OSCE) 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.
Application received by PEBC on ________________________________ (to be completed by PEBC)