ual: x3" Candlidate Authentication form “This declaration must be completed and signed bythe student and countersigned by the tutor or assessor. Guidance for candidate ‘You have been asked to sign this Candidate Authentication form and place it tthe fox of your Patol. It confims thatthe work you have submitted fr assessments your own andithat you have het copied i ffom someone else of allowed another candidate to copy from you Candidate declaration ean that the attache perfatin is ally xin week and na no nce ny work complete by anyone ‘thee than myst ialeton HTT] ine aneckia, POUICEDNS And technology Candidates lmame: | yy games Park Greesbolgh Canalis omar: SE PT 20 [oi [23 “unless otherwise stated, candidates can work together but should show sections which ar thair own work UAL Awarding Body is collecting images of students work forts online gallery and for use in materials to help teach this qualification to other students. Ths wil argely happen via our webste but we may also use ‘ome images In our printed publications such asthe course specication for this qualification ‘Approval for use of own work ‘Should we identity your work for use in tis way, we would be very grateful if you would allow us to photograph it Ifyou are happy for us to use images of your workin this way, then please sign Below: Pantname ‘Candidate signature Contre confirmation of authenticity On behalf of (insert centre name) | cont that the above mentioned Ceanaidate, to the best of my knawiedge, ste sole author of he completed assignment/potlio attached and the assessments have been completed under the requted conditions. Tutor or assessor declaration |canfim that in tine with the requirements ofthe course and the qualty procedures operated by the cenit, all reasonable steps have been taken to monitor the authenticity of students! work for ths ‘aeeessment eession Soe Sar sc ‘Signature: Ch “| = Boh lize _ a UAL Avaring Body candidate authentication form V2.1