Learner malpractice form

Contact details

Centre number:

Centre name:

Centre address:

Your name:

Your job title:

Email address:

Telephone number:

Relationship to centre:

Do you wish to remain anonymous:

Yes

Incident information

Date(s) of incident:

Time(s) of incident:

Qualification, unit or specification code:

Learner name(s) batch number(s) ULN:

Name(s) and role(s) of invigilator(s)/assessment personnel or other witness/witnesses:

Individual(s) who gathered evidence

Name:

Role:

Reason why suitable to gather evidence (e.g. experienced senior leader):

Did any external people (e.g. local authority personnel, union officers) assist in the gathering of evidence? If so, please give details:

Yes

If Yes, please give details:

Have you and the individual proposed to gather evidence read the JCQ guidance on conflicts of interest and personal interest at sections 2.5 and 6.3 and Appendix 3 within the JCQ Suspected Malpractice Policies and Procedures:

Yes

Does the individual proposed to gather evidence have any known conflicts of interest or personal interest in the outcome of the investigation:

Yes

Details

We’d like to understand what happened so that we can make sure we involve the appropriate NCFE personnel who will carry out an initial fact find. Please provide details of the full nature of the alleged or actual maladministration or malpractice, including any mitigating circumstances and the contents and outcome of any investigation carried out by personnel, e.g. the centre or yourself, relating to the issue:

Details of the nature of the suspected or actual maladministration and / or malpractice, including details of how it was identified, by whom and when; and any evidence obtained:

All qualifications

If the incident involves disruptive behaviour, did the candidate’s behaviour cause disturbance to other candidates:

Yes

If the incident involves the introduction of unauthorised material, is the unauthorised material enclosed:

Yes

If the case involves plagiarism please provide full details (i.e. title, author, edition, website, etc.) of the material plagiarised and include copies if possible:

If there are any other details you feel are relevant to this allegation, including mitigating circumstances, please give further information below:

Declaration

I accept that NCFE will hold and process the information given electronically and will only use this information for the purpose of an investigation and in compliance with relevant data protection legislation.

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