Assessment Record Student Name

Assessment Record

Student Name

Course

Course Code

Class/Group

Unit of Competency /Cluster

RTO/SRTO

Assessment: (as applicable)

Student Results:

1.

Satisfactory |_|

Not Yet Satisfactory |_|

Not Completed |_|

2.

Satisfactory |_|

Not Yet Satisfactory |_|

Not Completed |_|

3.

Satisfactory |_|

Not Yet Satisfactory |_|

Not Completed |_|

Overall, the candidate was assessed as:

Competent |_|
Not Yet Competent |_|

Feedback to candidate on overall performance during assessment:

The candidate requires the following skill development before re-assessment:

The candidate has been provided with feedback and informed of the assessment result and the reasons for the decision.

Name of Assessor:

Signature of Assessor:

Date:

I have been provided with feedback on the evidence I have provided. I have been informed of the assessment result and the reasons for the decision.

Name of Candidate:

Signature of Candidate:

Date:

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