| Source of Evidence | Met requirements | Did not meet requirements | Candidates Comments |
| Summative assessment |
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| Formative assessment | |||
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I hereby confirm that I have been given feedback by the assessor on all the aspects of my assessment. I have been given the opportunity to ask questions and the above feedback was given by me in respect of my assessment. I am aware of the assessment process and the appeal procedure. I AGREE / DISAGREE with the assessment decision.
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Overall Assessment Decision
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Additional Notes
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| Assessor Signature:
Date:
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Candidate Signature:
Date:
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