Assignment attachment sheet
UNIVERSITAS ISLAM INDONESIA
Date
received
INTERNATIONAL PROGRAM
ASSIGNMENT ATTACHMENT SHEET
This form must be completed, signed, and attached to each assignment you submit within the International Program,
Universitas Islam Indonesia.
Student name
Please use block letters, and enter your name as it appears on your student card`
Student ID
Subject name
Lecturer
Assignment number / title
Due date
Plagiarism and Collusion Declaration:
Plagiarism occurs when a student passes off as the student’s own work, or copies without
acknowledgement as to its authorship, the work of another person.
Collusion occurs when a student obtains the agreement of another person for a fraudulent
purpose with the intent of obtaining an advantage in submitting an assignment or other work.
“I certify that the attached work is entirely my own (or, where submitted to meet the
requirements of an approved group assignment, is the work of the group), except
where material quoted or paraphrased is acknowledged in the text. I also declare that
it has not been submitted for assessment in any other unit or course.”
Student’s
signature:
Date
:
An assignment will not be accepted for assessment if the declaration appearing above has not
been signed by the author. If the assessment task involves group work, marks will be allocated
only to students in the group who have completed and submitted a copy of this form.
It is advised to retain a copy of your work until the original has been assessed and collected
by you.
This assignment has been assessed and moderated in accordance with University Policy.
Assessor’s Name
Signature
Date
Assessment Breakdown
Original
Thought
30%
Comments:
Content
40%
Evidence/
Research
20%
Quality of
Presentation
10%
Final Mark for
this
assignment
Date
received
INTERNATIONAL PROGRAM
ASSIGNMENT ATTACHMENT SHEET
This form must be completed, signed, and attached to each assignment you submit within the International Program,
Universitas Islam Indonesia.
Student name
Please use block letters, and enter your name as it appears on your student card`
Student ID
Subject name
Lecturer
Assignment number / title
Due date
Plagiarism and Collusion Declaration:
Plagiarism occurs when a student passes off as the student’s own work, or copies without
acknowledgement as to its authorship, the work of another person.
Collusion occurs when a student obtains the agreement of another person for a fraudulent
purpose with the intent of obtaining an advantage in submitting an assignment or other work.
“I certify that the attached work is entirely my own (or, where submitted to meet the
requirements of an approved group assignment, is the work of the group), except
where material quoted or paraphrased is acknowledged in the text. I also declare that
it has not been submitted for assessment in any other unit or course.”
Student’s
signature:
Date
:
An assignment will not be accepted for assessment if the declaration appearing above has not
been signed by the author. If the assessment task involves group work, marks will be allocated
only to students in the group who have completed and submitted a copy of this form.
It is advised to retain a copy of your work until the original has been assessed and collected
by you.
This assignment has been assessed and moderated in accordance with University Policy.
Assessor’s Name
Signature
Date
Assessment Breakdown
Original
Thought
30%
Comments:
Content
40%
Evidence/
Research
20%
Quality of
Presentation
10%
Final Mark for
this
assignment