The document is a learner assessment submission and declaration form for a student named David Hall. It lists the assignments and units being submitted on February 20, 2015 for an Extended Diploma in Creative Media Production, including a partial assignment on the structure of game guides and an assignment called "Showcase." The form includes spaces for the learner's and assessor's names, issue and submission dates, program details, and assignments submitted. At the bottom, David Hall signs to declare the submitted work as his own.

1. LEARNER ASSESSMENT SUBMISSION AND DECLARATION
When submitting evidence for assessment, each learner must sign a declaration confirming that the work
is their own. You may use this form, or incorporate a learner declaration into an Assignment Brief front
sheet.
Learner name: David Hall Assessor name:
Jordan eastwood
Issue date:
HA3 - 08/12/14
HA4 - 19/01/15
Submission date:
27/02/15
Submitted on: 20/02/2015
Programme:
Extended Diploma in Creative Media Production – Games Development
Unit:
13: Understanding the Computer Games Industry - Partial
Assignment reference and title:
HA3 – The Structure of the Game Guide
HA4 - Showcase
Please list the evidence submitted for each task. Indicate the page numbers where the evidence can be found or
describe the nature of the evidence (e.g. video, illustration).
LEARNER ASSESSMENT SUBMISSION AND DECLARATION
Learner declaration
I certify that the evidence submitted for this assignment is my own. I have clearly referenced any
sources used in the work. I understand that false declaration is a form of malpractice.
Learner signature: david hall Date:20/02/2015