9239 Statement of Originality

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9239: Statement of originality

Electronic signatures are acceptable

Student declaration:

I confirm that the enclosed material is all my own work. I have not copied
or based my work on any samples or exemplars to which I have had
access. Any work taken from another source has been appropriately
referenced and acknowledged.

Name__________________________________________________

Date_________________________

Teacher Declaration:

I verify that I have supervised sufficient work to enable me to say with


confidence that this is the candidate’s own work. The work has been fully
checked and these checks included looking for:

 copying from any sample/exemplar materials;


 copying from other students;
 the possibility of a third person writing the work.

I also confirm that the syllabus regulations on the role of the teacher have
been observed.

Name__________________________________________________

Date_________________________

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