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Candidate Authentication form
This decaration must be completed and signed by the student and countersigned by the tutor or assessor.
Guidance for candidate
‘You have been asked to sign this Candidate Authentication form and pace it al the rot of your
Portfolio. contims thatthe work you have submited for assessment your own althat you have
Pot copied it from someone else of allowed another candidate to copy fm you.
Candidate declaration
"confi that the atached portfolio all my own work and docs net include any work oompleted by anyone
other than mysel
‘Qualification tt
UAL _Eshenrded. Difloma in Creakive Media fradidton
‘Candidate's full nam
Oscar Boale =
CHACHA One [PR 20/01/23
“unless otherwise stated, canlidotes can work together but should show sections which are their own work
UAL Awarding Body is collecting images of students’ work forts oni galery and for use in materials to
hp teach this qualifcation to other students. This wl largely happen via cur webste out we may also Use
‘some images In ou printed publications such as the course specication for this qualification,
Approval for use of own work
‘Should we identity your work for use in this way, we would be very gratefulif you would allow us to
photograph it
[Ifyou are happy for us to use images of your work inthis way, then please sign below: =|
‘then please sign below
rit ame:
sar Beate Candidate satire: neato
Contre contiemation of authenticity
‘On baal of (insart centr name) | confi thatthe above mentioned
‘candidate, tothe best of my knowisdge, the sole author ofthe completed assignment/pertoio
aitached and the assessments have been completed under the required conditions.
‘Tutor or assessor declaration
| confirm that, nine wih the requirements of the course and the qualty procedures orerated by the
centre, all eseonable saps have been taken to montor the aunentiy of student work fr thie
assessment session
Print name:
‘Signatur
[UAL Awarding Body candidate authentication form V2.1