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Student Declaration of Authenticity Form

This declaration must be completed by each student to ensure authenticity and quality procedures operated
by the centre have been followed.
Level 3 EXTENDED Diploma in Performing and Production Arts
Qualification title:

Group ID:
30372
Play: ‘Glasstown’
Assessment / Project title:
Unit 12: Collaborative Performance Project
Unit(s) assessed:

Guidance for Centres


In order to confirm to UAL that the evidence produced by a student is valid and appropriate, centres must
ensure that they keep detailed records evidencing their level of support and control over the formative and
summative assessment.

Student Declaration:

I confirm that the attached assessment is all my own work and does not include any work completed by
anyone other than myself and sources have been appropriately referenced.

Student name: Kate Ruth Perkins

Signature:

Date:
30/05/2023

UAL Awarding Body Student Declaration of Authenticity Form 2021/2022

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