COURSEWORK AUTHENTICATION SHEET
Specification/syllabus title:
_______________________________________________
Specification/syllabus number:
_______________________________________________
Centre Name (BLOCK CAPITALS):
_______________________________________________
Centre Number:
_______________________________________________
Candidate Name (BLOCK CAPITALS):
_______________________________________________
Candidate Number:
_______________________________________________
Examination series for which the candidate is entered: ______________________________________
Declaration of Authentication: I declare that the work submitted for assessment has been carried out without assistance other than that which is acceptable under the scheme of assessment. Signed (candidate):
_____________________________
Date:
_____________________________
Signed (teacher):
_____________________________
Name of teacher:
_____________________________
Date:
_____________________________
Please attach this authentication sheet to the candidate’s internal assessment submission and ensure that is it visible on the front cover of the submission.
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