ual: ga"
Candidate Authentication form
“This declaration must be completed and signed by the student and countersigned by the tutor or assessor,
Guidance for eandidate
‘You have been asked to sign this Candidate Authentication form and place it atthe front of your
portoo lt confims that the work you have submited for assessment fs your own and thal you have
not copied trom someone else of allowed another candidate to copy fom you
"eq that he attached porflois all my own work* and does not include any work completed by anyone
ther than myset
SERED] OLA Cahankad Dyer in coubioe in pohudiae |
nba)
ens ana: PHT oc fot / 4043]
“unless etherwise stated, candkdates can work together but should show sections whieh ae their own work
LUAL Awarcing Body ie collecting images of students work forts online gallery and for use in materials to
help teach ths qualficaion to oer students, Ths wil largely happen va our website but we may also use
‘some images in our printed pubieatons such asthe course specification for this qualiicaon
Approval for use of own work
SShoulel we ientiy your work for use in this way, we would be very grateful f you would allow us to
photograph it
{Myou are happy for us fo use images of your work in this way, then please sign below:
Pent name: ‘Cancidate signature
Contre confirmation of authontity
Onbehaif of (nsert centre name) “hw hurley Co | confi thatthe above mentioned
oan er es xtdo cael copes copereboaie
‘tocol ang the ossesmente have Been completed dere requres condone.
‘Tutor of assessor declaration
| confirm that, nine with the requirements of the course and the quality procedures operated by the
conte, all reasonable seps have been taken to monitor the authentety of students’ work fortis
‘aseaccment session,
Seen Dusan)
Signature: 7
oe eal las
intname:
UAL Awarding Body candidate authentication form V2.