IPERI Platform

Australia Pathway Registration Form

Full Name (as per passport)

Date of Birth

Nationality

National ID / Passport Number

Nationality

Phone Number (WhatsApp enabled)

Email Address

Use a valid email address (e.g., name@example.com).

University Where Pharmacy Degree Was Obtained

Degree Awarded

Year of Graduation

Have you completed your internship?

Current Professional Status

Current Place of Work (if applicable)

Interested in Australia Pathway?

Familiar with OPRA examination?

Willing to sit international competency exams?

English Test Taken

Year taken and score (if known)

Include test type, year and scores if available.

Which documents do you currently have available?

List documents available (degree, transcripts, license, etc.).

Preferred Support Package

Preferred Cohort Intake

Why are you interested in the Australia pharmacy pathway?

Prepared for a 12–30 month structured process?

How did you hear about the program?

I confirm that the information provided is accurate and consent to be contacted.

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