ual: x3"
Candidate Authentication form
‘This declaration must be completed and signed bythe student and countersigned by the tutor or essessor.
Guidance for candidate
‘You have been asked to sign this Candidate Authentication form and place I atthe front of your
portfolio. I confme thatthe work you have submited fer assacsrnontis your own and that you have
‘ot coped it from someone elee or allowed another canaidate to copy fom you
Candidate declaration
‘eonfirm thatthe attached portfollo fs ll my own work" and does not includ any work completed by enyone
other then myset _ —
‘Qualifiestion tte:
Candidate's Full name!
‘Candidates signature = Dato: |
“unless otherwise tated, candidates can work ogather but should show sections which are their own work.
LUAL Awarding Body ie coleting Images of students’ work forts online gallery and fo use in mateis to
help teach this qualfieation to other students. This wil largely happen via our website but we may also use
‘some images in our printed publications such 2¢ the course specification for this qualification,
Approval for use of own work
‘Should we idently your werk for use in this way, we would be very grateful f you would allow us to
‘photograph
[ijyou are happy for us to use images of your work inti
Print name! CCancidate signature
‘hen please:
Contre confirmation of authenticity
On behalf (insert contre name) confirm thatthe above mentioned
‘candidate, tothe best of my knowiedge, I he sale author ofthe completed assienment/potolio
‘attached and the assessments have been completed under the required condtons.
Tutor or assessor declaration
I conf tha. nline withthe requirements ofthe course and the quely procedures operated by the
centre, all reasonable steps have been taken to monitor the authentic of students! work for his
‘ascesement session,
Print name:
‘Signature
Dates
UAL Awarding Body candate authentication frm V2.2