Candidate Statement - Suspected Malpractice case

Centre Centre Name Candidate Candidate Name Exam session Venue Exam
No. No. date

As communicated to you by your exam centre, while marking your exam papers, an examiner has raised suspicion
that your answers are not a reflection of your own ability. In order to protect the validity and integrity of our
tests, we need to ensure that your answers are a reliable indicator of your ability.

You now have an opportunity to tell us your personal view of this suspected malpractice case by completing this
statement. You may also include anything else you consider relevant. You are not obliged to provide a statement.
By completing and returning this form, you agree and acknowledge that the test day regulations provided to you
are applicable to the Malpractice process.

A Malpractice Decision Maker will consider your statement and decide whether or not to release your result,
based on the evidence available. Your statement is only a part of the extensive evidence that the Malpractice
Decision Maker will consider.

Please provide your statement in the space below.

Signature ______________________________________________________________________________
Under 18’s can be represented by their parent or guardian if they wish.

Date signed ____________________________________________