| Department | TLA |
|---|---|
| Candidate Name | Ami Ujjaval Patel |
| Candidate Position | Pharmacy Technician Band 6 |
| Professional Reg Number | 5102211 |
| Professional Reg expiry | 14/11/2024 |
| Appraisal Date | 26/01/2024 |
| Appraiser | Omotayo (Tayo) Jaiyesimi |
| Appraisal Position | Pharmacist |
| Date of Last Appraisal/Interview | 26/01/2024 |
| HTML Block | Most Recent Placement |
| Date From | 28/11/2023 |
| Placement | East London NHS Foundation Trust |
| How are you finding the placement? | Good |
| Any concerns/ comments you would like to feedback? | N/A |
| Induction – have you received on onsite induction? | Yes |
| Do you have any questions or concerns that we may assist with? | N/A |
| Any comments you would like to add? | N/A |
| HTML Block | Declaration:I confirm this is a true and accurate account of my appraisal and am aware that I am required to have an annual appraisal with one of TLA’s clinical lead’s which is to be completed by a video call platform (ie: facetime, skype, what’s app) |
| Name (Candidate) | Ami Ujjaval Patel |
| Signature (Candidate) | |
| Name (Appraiser) | Omotayo (Tayo) Jaiyesimi |
| Signature (Appraiser) | |
| HTML Block | OFFICE USE ONLY: |
