Registration No 2018/HE08/001 Ph: (+27) 021 421 9027/8

www.madinainstitute.ac.za info@madinainstitute.ac.za

Plagiarism Declaration Form

1. I hereby declare that I know what plagiarism entails, namely to use another’s work or ideas and to
present it as my own without attributing the sources in the correct way
2. I know that plagiarism is a punishable offence because it constitutes theft.
3. I understand the plagiarism policy of Madina Institute
4. I know what the consequences will be if I plagiarize in any of the assignments, Tests or Examinations
for my course.
5. I declare therefore that all work presented by me for every aspect of my course, will be my own,
and where I have made use of another’s work, I will attribute the source in the correct way.

Name:

Student Number:

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Signature Date

** Madina Institute NPC is a private higher education institution that is fully accredited by the Council on
Higher Education (CHE) and the South African Qualification Authority (SAQA) and is provisionally
registered with the Department of Higher Education and Training until 31 December 2021 as a private higher
education institution under the Act. Registration certificate No.2018/HE08/001