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    NOMINATION FORM (NatCon2020)

    Uploaded by

    Bryan Santos Posadas
    This document is a nomination form from the Philippine Pharmacists Association (PPhA) for their annual awards. It contains information about the PPhA, which is a member of several international pharmacy organizations. The form allows the nominator to select one award category for Atty. Froilan A. Bagabaldo, including Lifetime Achievement Award. It requests contact information for the nominator and details on how to submit the nomination.

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    NOMINATION FORM (NatCon2020)

    Uploaded by

    Bryan Santos Posadas
    30 views1 page
    This document is a nomination form from the Philippine Pharmacists Association (PPhA) for their annual awards. It contains information about the PPhA, which is a member of several international pharmacy organizations. The form allows the nominator to select one award category for Atty. Froilan A. Bagabaldo, including Lifetime Achievement Award. It requests contact information for the nominator and details on how to submit the nomination.

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    This document is a nomination form from the Philippine Pharmacists Association (PPhA) for their annual awards. It contains information about the PPhA, which is a member of several international pharmacy organizations. The form allows the nominator to select one award category for Atty. Froilan A. Bagabaldo, including Lifetime Achievement Award. It requests contact information for the nominator and details on how to submit the nomination.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    30 views1 page

    NOMINATION FORM (NatCon2020)

    Uploaded by

    Bryan Santos Posadas
    This document is a nomination form from the Philippine Pharmacists Association (PPhA) for their annual awards. It contains information about the PPhA, which is a member of several international pharmacy organizations. The form allows the nominator to select one award category for Atty. Froilan A. Bagabaldo, including Lifetime Achievement Award. It requests contact information for the nominator and details on how to submit the nomination.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 1

    THE PHILIPPINE PHARMACISTS ASSOCIATION, INC.

    Pharmacists for Better Health Outcomes


    Member: International Pharmaceutical Federation (FIP)
    Western Pacific Pharmaceutical Forum (WPPF)
    Federation of Asian Pharmaceutical Associations (FAPA)

    NOMINATION FORM

    Date: January 27, 2020

    To the PPhA Awards Committee:

    I hereby nominate Atty. Froilan A. Bagabaldo, for the following award:

    Individual Award Category (check one award only; please refer to the descriptions given below )

    [ ] Bowl of Hygeia Award The Outstanding Pharmacist (TOP) Award in:


    [ ] Community Pharmacy

    [ ] Hospital/Clinical Pharmacy
    [ X ] Lifetime Achievement Award
    [ ] Industrial Pharmacy

    [ ] Education

    [ ] Research
    [ ] Gawad Lourdes Echauz Leadership Award
    [ ] Government Service

    Group Award Category(check one award only; please refer to the descriptions given below )

    [ ] Chapter [ ] Affiliate

    Nominated By: _______________________________________________


    Signature over Printed Name

    PRC ID No:_________ PPhA ID No:__________ Date:_________

    Submitted By:
    _______________________________________________
    Individual Member / Chapter or Affiliate President /
    Vice President for Luzon/Visayas/Mindanao

    Date:_______________

    Address: PPhA Building, 815 R. Papa Street, Sampaloc, Manila 1008 Philippines
    Tel: (+632) 7344820; Telefax: (+632) 3100850; E-mail: ppha1920@gmail.com or philpharm@surfshop.net.ph
    Website: www.philpharmacists.or

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