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| Candidate’s Name: | ID No. |
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| Assessor’s Name: | Reg. No. |
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| Unit Standard Title: Use computer technology to research a computer topic | |||
| Date: |
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| SECTION 1 |
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| Candidate’s reason for disagreeing with the assessment decision. | |||
| Assessor’s rationale for the assessment decision. |
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| Candidate’s signature. |
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| Assessor’s signature. |
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| SECTION 2 | |
| Moderator’s decision. |
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| Moderator’s signature. |
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