November 2021 assessor declaration form

GCSE Modern Foreign Languages (MFL)

Speaking Endorsement
To be completed by the person assessing candidates’ speaking abilities in accordance with the common
assessment criteria.
This form must be submitted to the candidate(s) entering centre along with the recommended endorsement
level.

To be completed by the centre:

Centre number Centre name

Click here to enter. Click here to enter text.

Please note: this form must be retained by the entering centre until after results day

To be completed by the assessor

 I confirm that I am fully familiar with the common assessment criteria for assessing Speaking in 2021.

 I confirm that there is no conflict of interest and that I am not a friend or relative of the candidate.

 I confirm that I have assessed the following candidate(s) in Select a language from the list.
using the common assessment criteria.

 I confirm that I recommend the following endorsement(s):

Candidate number Candidate name Endorsement level

(completed by centre) (Surname: First names) (Not Classified/Pass/
Merit/Distinction)
Click. Click here to enter text. Choose a grade.
Click. Click here to enter text. Choose a grade.
Click. Click here to enter text. Choose a grade.
Click. Click here to enter text. Choose a grade.
Click. Click here to enter text. Choose a grade.

Full name Click here to enter text.

Email address Click here to enter text.

Signature. Date Click here to enter a date.

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