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Witness Statement copy

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BTEC Record of Practical Activity
*Observation Record
*Witness Statement
*please delete as applicable
Learner name:
Qualification:
Unit or Component number
& title:
Name of *Observer/
*Witness:
*please delete as applicable
Date of Activity:
Assessment criteria targeted :
Description of activity undertaken:
 (what the learner did)
 the evidence provided/questions asked and answers given:
Please write in this section !
Please state the evidence this record is in support of:
I confirm this is an accurate record of the activity undertaken
Learner signature:
Date:
*Assessor/*Witness signature:
*please delete as applicable
Role:
Date:
2019/20 BTEC Record of Practical Activity Template
Issue Date: 16 July 2019
Owner: BTEC Assessment
DCL1 Public (Unclassified)
Version 1.0
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