Learner Submission Form

**Assignments will not be accepted without this form**

I wish to confirm that I have read the Training policies & procedures around course work submission, academic misconduct and plagiarism outlined in the Learner Handbook. I confirm this work is my own and in line with Training policies on referencing where required.

I CONFIRM THAT I HAVE KEPT A COPY OF MY ASSIGNMENT

Learner Name:

PPS No.:

Component:

Date of Birth:

Tutor Name:

Course Ref:

Assignment Title (as per the assignment brief):

Submission Due Date:

For Late Submissions:

Date Submitted:

Extension Granted:

Yes

Deferral Form:

Max. file size: 150 MB.