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MODERATION: VISUAL EVIDENCE COVER SHEET

(The completed cover sheet must be sent with your video submission)

Subject/ Moderation system: _____________________________________________

School/ Provider name:  _______________________________________________

Use this checklist to prepare your visual submission of evidence

- Only the performances to be moderated are on the submission

- Candidates are identified by (method)

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- Standard VHS or CD-R/DVD-R format has been used

- The videotape, CD or DVD is previously unused

- The submission is adequately packaged

Notes
Please explain any aspect of the submission the moderator should be aware of:

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STUDENT IDENTIFICATION ON VISUAL SUBMISSIONS

This form is to be used to identify students on visual/photographic evidence for performance subjects e.g.
Drama. A separate form is to be used for each student and attached as evidence.
All submissions must be in VHS standard format or CD-R or DVD-R.

School Name: __________________________________________________________

Subject: _______________________________________________________________

Achievement Standard No: _______________________________________________

Unit Standard No: ___________________________ Element No: ________________

Student Name:__________________________________________________________

Means of identification e.g. clothing, position in group:


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Other Considerations:
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