Complete the following form Name: First name: Last name: PSI Number (if currently registered): Address: Address Address 2 City/Town County: Telephone number: Email address: Email address: Confirm email Gender: Age group: - Select -50-6060-7070-8080+ Please indicate which opportunity you are applying for (Please note you can express your interest in the PAAG, the panel, or both) - Select -Pharmaceutical Assistant Advisory Group (PAAG) PanelBoth Please tell us why you want to join the PAAG (max 300 words): Please provide a brief overview of your current and previous roles, including any experience you feel is relevant to the PAAG and/or panel (max 300 words): Upload your CV (optional): Upload One file only.1 GB limit.Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods. I confirm that I have read the Expression of Interest and Terms of Reference and understand the role. Submit
