The Imperial College of Australia

A.B.N. 85 123 406 039

212 Hoddle Street, Abbotsford, Victoria 3067 (Australia)
Tel 61 3 9417 4777
Web www.imperial.edu.au Email info@imperial.edu.au

ASSESSMENT COVER SHEET

This form is to be completed and used as a final record of student competency. All student submissions including any
associated checklists (if any) are to be attached to this cover sheet before placing on the students file. Student results
are not to be entered onto the Student Database unless all relevant paperwork is completed and attached to this form.

Course Code: SIT40516 Unit Code: SITXHRM003

Course Title: Certificate IV in commercial cookery
Unit Title: Lead and manage people

Student Name:
Student ID No:

Please attach the following documentation to this form Outcome

Assessment No: 1 Satisfactory / Not Satisfactory
Assessment Type: Worksheets

Assessor Feedback:

Assessor: I declare that I have conducted a
fair, valid, reliable and flexible assessment with
this student, and I have provided appropriate
feedback. I acknowledge that I have checked this
assessment for plagiarism (sample of check
attached) and academic dishonesty.
Name: ..............................................................
Student Plagiarism Declaration: By submitting this
assignment to the college I declare that this
assessment task is original and has not been copied
or taken from another source except where this work
has been correctly acknowledged. I have made a
photocopy or electronic copy of my assessment task,
which I can produce if the original is lost.

Signature:........................................................ Signature:................................................................

Date:................................................................
Date:.........................................................................

BJSB Pty Ltd. trading as Assessment cover sheet

The Imperial College of Australia Version: February 2020
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