Declaration of authenticity Technical qualifications Assessment ID Qualification number Candidate name Candidate number Centre name Centre number Candidate: I confirm that all work submitted is my own, and that I have acknowledged all sources I have used. Candidate signature Date Tutor: I confirm that all work was conducted under conditions designed to assure the authenticity of the candidate’s work, and am satisfied that, to the best of my knowledge, the work produced is solely that of the candidate. Tutor signature Date Additional Support Has the candidate received any additional support in the production of this work? (Please tick appropriate) No Yes If yes, give details below (and on a separate sheet if necessary).
Declaration of authenticity Technical qualifications Assessment ID Qualification number Candidate name Candidate number Centre name Centre number Candidate: I confirm that all work submitted is my own, and that I have acknowledged all sources I have used. Candidate signature Date Tutor: I confirm that all work was conducted under conditions designed to assure the authenticity of the candidate’s work, and am satisfied that, to the best of my knowledge, the work produced is solely that of the candidate. Tutor signature Date Additional Support Has the candidate received any additional support in the production of this work? No Yes (Please tick appropriate) If yes, give details below (and on a separate sheet if necessary).
0175-002_Synoptic_Assignment_forms_2019_v1.docx