2017/18 candidate record form, production log
and assessment record
Level 3 Extended Project (7993)
Please attach the form to your candidate’s work and keep it at the centre or send
it to the moderator as required. The declarations should be completed as
indicated.
Centre number Centre name
Click here to enter. Click here to enter text.
Candidate number Candidate’s full name
Click here to enter. Click here to enter text.
Work submitted for assessment must be the candidate’s own. If candidates copy work, allow candidates to copy
from them, or cheat in any other way, they may be disqualified.
Candidate declaration
Have you received help/information from anyone other than subject teacher(s) to produce this work?
☐ No ☐ Yes (give details below or on a separate sheet if necessary).
m
Please list below any books, leaflets or other materials (for example DVDs, software packages, internet
information) used to complete this work not acknowledged in the work itself. Presenting materials copied from other
sources without acknowledgement is regarded as deliberate deception.
m
From time to time we use anonymous examples of candidates’ work (in paper form and electronically) within our
guidance materials to illustrate particular points. If your work appears in AQA materials in this context and you
object to this, please contact us and we will remove it on reasonable notice.
I have read and understood the above. I confirm I produced the attached work without assistance other than that
which is acceptable under the scheme of assessment.
m Date
Supervisor declaration
I confirm the candidate’s work was conducted under the conditions laid out by the specification. I have
authenticated the candidate’s work and am satisfied, (to the best of my knowledge) that the work produced is solely
that of the candidate.
Supervisor signature. Date
AQA Education (AQA) is a registered charity (number 1073334) and a company limited by guarantee registered in England 7993/CRF
and Wales (number 3644723). Our registered address is AQA, Devas Street, Manchester M15 6EX.
and assessment record
Level 3 Extended Project (7993)
Please attach the form to your candidate’s work and keep it at the centre or send
it to the moderator as required. The declarations should be completed as
indicated.
Centre number Centre name
Click here to enter. Click here to enter text.
Candidate number Candidate’s full name
Click here to enter. Click here to enter text.
Work submitted for assessment must be the candidate’s own. If candidates copy work, allow candidates to copy
from them, or cheat in any other way, they may be disqualified.
Candidate declaration
Have you received help/information from anyone other than subject teacher(s) to produce this work?
☐ No ☐ Yes (give details below or on a separate sheet if necessary).
m
Please list below any books, leaflets or other materials (for example DVDs, software packages, internet
information) used to complete this work not acknowledged in the work itself. Presenting materials copied from other
sources without acknowledgement is regarded as deliberate deception.
m
From time to time we use anonymous examples of candidates’ work (in paper form and electronically) within our
guidance materials to illustrate particular points. If your work appears in AQA materials in this context and you
object to this, please contact us and we will remove it on reasonable notice.
I have read and understood the above. I confirm I produced the attached work without assistance other than that
which is acceptable under the scheme of assessment.
m Date
Supervisor declaration
I confirm the candidate’s work was conducted under the conditions laid out by the specification. I have
authenticated the candidate’s work and am satisfied, (to the best of my knowledge) that the work produced is solely
that of the candidate.
Supervisor signature. Date
AQA Education (AQA) is a registered charity (number 1073334) and a company limited by guarantee registered in England 7993/CRF
and Wales (number 3644723). Our registered address is AQA, Devas Street, Manchester M15 6EX.
