2023 Pharmaceutical Secure Supply Chain Management on Wheels course25-30 September 2023Application Form Survey

INTRODUCTION

APPLICATION DEADLINE 31 MAY 2023

WHO SHOULD APPLY

Primary target audience

•       Representatives from the government sector involved in the pharmaceutical cold chain in the areas of: regulation, inspection, planning, and monitoring.

•       Representatives from the pharmaceutical/biopharmaceutical/vaccine industry in the areas of: Supply, packaging, distribution, logistics and cold chain management. Manufacturers who already supply WHO prequalified products are encouraged to participate.

•       Representatives from the equipment and device manufacturing industry in the areas of: Active cooling, passive cooling, temperature monitoring, and track and trace. Manufacturers who already supply WHO PQS prequalified products, or who wish to enter this market, are encouraged to participate.

Secondary target audience

•       Representatives from the pharmaceutical/biopharmaceutical/vaccine industry in the areas of: R&D, quality, regulatory, and manufacturing.

•       Representatives from WHO, UNICEF, and other partner organizations: Technical officers responsible for pharmaceutical cold chain management activities at the regional level, intercountry logisticians, health officers, EPI officers, and immunization advisers whose involvement in the pharmaceutical cold chain is confirmed by their organizations.

•       Representatives from logistics providers.

•       Members of the faculty of institutions of higher education in health professions.

•       Independent consultants

1.First name(Required.)

2.Family name(Required.)

3.Please indicate how you would like your name to appear on your certificate:(Required.)

4.Title (select one)(Required.)

Mrs

5.Sex(Required.)

Female

Male

6.Nationality(Required.)

7.Date of birth(Required.)

Date

SuSunday

MoMonday

TuTuesday

WeWednesday

ThThursday

FrFriday

SaSaturday

8.Contact information (as for the phone number do not forget to include country and area code)(Required.)

Institution/Organization/Company

Address

Address 2

City/Town

State/Province

ZIP/Postal code

Country

Email address

Mobile phone number

9.Job title:(Required.)

10.Short description of your responsibilities(Required.)

11.Briefly describe how your job relates to this course:(Required.)

12.Membership (list down the organizations you are a member of - such as PDA) - leave blank if you are not a member of any professional organization

13.Do you have a supervisor?(Required.)

YES

14.If you have a supervisor, please provide contact details:

Name:

Position:

Email address:

15.Please upload your most recent curriculum vitae (Upload PDF, file size limit is 16 MB)(Required.)

No file chosen

16.Please upload a photo of yourself (use JPG high resolution, file size limit is 16 MB)(Required.)

No file chosen

It is assumed that you have already discussed your application with your supervisor/senior management in your organization.

By submitting this application, you are declaring that you/your institute will cover the travel costs outside of this course and the CHF 5,500.00 course fee (inclusive of all hotels and meals).

If you are selected, you will receive additional information on how to transfer the course fee.

Current Progress,

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