Academic Misconduct Allegation Report FAO: Jamie Kavanagh Student Casework Office Jewry Street, City campus Note: Please complete the following sections and send to the Student Casework Office, Jewry Street, City Campus together with: i) original item of assessed work and the accompanying evidence; ii) details of the assessment including the coursework or examination questions; iii) any information provided to students concerning academic conventions and practices. Please ensure for instances of alleged plagiarism or collusion that the piece of work and the evidence are both clearly marked up highlighting the similarities. Student Name(s) ID Number(s) Semester 1 Semester 2 Reassessment Other (Please specify) Department: Campus: Module Code: Weighting of the item of assessed work: Module Leader: Nature of offence: Cheating Plagiarism Collusion For cases of plagiarism Approximate percentage of work plagiarised: Is the plagiarised material cited in the bibliography? YES / NO Allegation made by (please print name): Signature Date Please briefly outline the grounds of the alleged academic misconduct (for plagiarism please provide details of the actual plagiarised materials i.e. websites, books, journals, etc.) NB Please note that this report will be sent to the student along with the evidence in support of the allegation.
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