School of Petroleum Engineering

THE UNIVERSITY OF NEW SOUTH WALES

ASSESSMENT COVER SHEET

This cover sheet must be attached to each piece of work submitted for assessment to the School
of Petroleum Engineering. The plagiarism compliance statement below must be signed by the
student in order for the work to be accepted for submission.
Surname: ............................................................................. Student No.: ....................................
Given Name(s): ..............................................................................................................................
Phone: .................................................... Email: ...........................................................................
Course Code: ............................. Course Name : ...........................................................................
Tutors Name (if applicable):..........................................................................................................
Assessment task: ............................................................................................................................
Date due: .................................................... Date submitted: .........................................................

PLAGIARISM COMPLIANCE STATEMENT

To be signed by the student
I declare that this assessment item is my own work, except where acknowledged,
and has not been submitted for academic credit elsewhere, and acknowledge that
the assessor of this item may, for the purpose of assessing this item:
Reproduce this assessment item and provide a copy to another member of the
University; and/or,
Communicate a copy of this assessment item to a plagiarism checking service
(which may then retain a copy of the assessment item on its database for the
purpose of future plagiarism checking).
I certify that I have read and understood the University Rules in respect of Student
Academic Misconduct.
Signature of student: .............................................................. Date: ........................
WORK CANNOT BE ACCEPTED FOR SUBMISSION UNLESS THIS STATEMENT IS SIGNED.

CHECKLIST
1)

I have kept a copy of this piece of work.

2)

I have signed the plagiarism compliance statement.

MARK: