Assessment Details Qualification Code/Title Assessment Type Due

Assessment Details
Qualification Code/Title
Assessment Type
Due Date
Due Date
Location
Term / Year
AHIC
Unit of Competency
National Code/Title
Learner Details
Learner Name
Learner ID
Learner Declaration: I declare that the work submitted is my own,
and has not been copied or plagiarised from any person or source.
Signature: ____________________________
Date:
_____/______/__________
Assessor Details
Assessor’s Name
RESULTS (Please Circle)
SATISFACTORY
NOT SATISFACTORY
Feedback to learner:
...............................................................................................................................................................................................
...............................................................................................................................................................................................
...............................................................................................................................................................................................
...............................................................................................................................................................................................
Learner Declaration: I declare that I have been
assessed in this unit, and I have been advised of my
result. I am also aware of my appeal rights.
Signature: _______________________________
Date:
______/_______/___________
Assessor Declaration: I declare that I have conducted a fair, valid,
reliable and flexible assessment with this learner, and I have
provided appropriate feedback.
Signature:
________________________________________
Date:
______/_______/___________
Australian Harbour International College, 114-120 Castlereagh Street, Sydney NSW 2000, Australia
|RTO NO: 41338 | CRICOS Provider Code: 03449J
Filename: Assessment Cover Page
Version 7.0/ November
2016
Review Date: July
2017
Page 1 of 1