Document 15371949

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Evidence Record Sheet
OCR Level 5/Level 7* Diploma in Teaching/Assessing Learners with Dyslexia/Specific Learning Difficulties QCF
Qualification:
Candidate Name:
Unit:
Evidence
Evidence title
Assessment method
Assessment Criteria
reference
or location
I confirm that the evidence provided is a result of my own work.
Signature of candidate:
..........................................................................................................................................
Date:
............................................
I confirm that the candidate has demonstrated competence by satisfying all of the performance criteria and range for this element:
Signature of assessor:
..........................................................................................................................................
Date:
............................................
IV name (if sampled) + date: ........................................................................ Countersignature (if required) + date: ..............................................................
OCR L5 and 7 Diploma in Teaching/Assessing Learners with Dyslexia/Specific Learning Difficulties QCF Qualifications (10128 and 10129)
* delete as appropriate
© OCR 2012
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