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We are the Pharmacy Law & Ethics Association
PLEA

PLEA Student Membership Application

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Application Type
Application For Student

Member Profile
Title
Firstname (required)
Surname (required)
Address 1 (required)
Address 2
City (required)
County
Postcode/Zip (required)
Country
Email (required)
Telephone (required)
Home Telephone
Mobile Number

Academic Details
Academic Institution
Course
Current year of study
Expected graduation/course completion date

Practice Area(s) (tick all that apply)
Academia teaching
Academia research
Barrister
Civil servant or government service
Community practice
Consultant
Education and training
Health service management
Hospital practice
Industrial practice
Journalism
Pharmacy organisation or body
Pre registration pharmacist
Public health
Retired
Solicitor
Pharmacy student
Other
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