[If electives are selected, add them below, and delete any above as applicable—3 electives are required.] On the basis of the assessment outcomes listed above, the candidate meets the Assessor’s declaration: Yes No requirements to be awarded the qualification CHC30113 Certificate III in Early Childhood Education and Care. Assessor’s signature Date Candidate’s signature Date
[If electives are selected, add them below, and delete any above as applicable—3 electives are required.] Assessor’s declaration: On the basis of the assessment outcomes listed above, the candidate meets the requirements to be awarded the qualification CHC30113 Certificate III in Early Childhood Education and Care. Yes No Assessor’s signature Date Candidate’s signature Date
chc30113_forms_aug13.docx