For office use
Receipt issued to student
 (tick)
Date stamp:
DEPARTMENT OF ….
COURSEWORK COVERSHEET 1
(ANONYMOUS COPY)
Please complete, sign the declaration and attach this coversheet to a copy of your work which
does not have your name on it.
Student registration number………………………………………………………………..
Course/Year ……………………………….
Module ……………………………
Coursework title ………………………………………………………………………………
Date of submission ……………………
Word Count…………………………
This section will be removed by the School Office prior to delivery to assessor.
Print name ……………………………………………………………………………………
Plagiarism declaration
I certify that the coursework that I have submitted is my own unaided work, and that I have read and
complied with the guidelines on plagiarism as set out in the student handbook. I understand that the
University may make use of plagiarism detection software and that my work may therefore be stored
on a database which is accessible to other users of the same software. I certify that the word count
declared is correct.
Students should be aware that, where plagiarism is suspected, a formal investigation will be
carried out, and action may be taken under the University’s rules on Academic Misconduct.
This might result in penalties ranging from mark deduction to withdrawal from the University.
Student’s signature ………………………
Date ………………………..
23 May 2007