Individual Assignment Cover Sheet

Individual Assignment
Cover Sheet
This form is to be used by students enrolled in a subject offered by Melbourne Business School who are submitting an assignment manually
where online submission via the Learning Management System (LMS) is unavailable. Please complete all sections - an incomplete form may
result in the delayed return of your assignment or of your mark for the assignment. Please keep a copy of all assignments before
submitting them for assessment.
Instructions
Prior to completing the Assignment Cover Sheet, students
should first check the Learning Management System (LMS) to
see if a pre-filled form has been made available. This form should
only be used if there is no cover sheet accessible through the
LMS. Please complete all sections of this Assignment Cover
Sheet, sign the declaration and submit it along with your
assignment to the MBS@The Spot Student Centre.
Attach this form to your assignment and submit to:
Melbourne Business School
Level 4, 198 Berkeley Street
The University of Melbourne
Victoria, Australia 3010
Telephone:
Facsimile:
(+61 3) 8344 1670
(+61 3) 9349 5021
Privacy Statement
The University of Melbourne's Privacy Policy with regards to student information can be viewed at:
http://www.unimelb.edu.au/unisec/privacy/studentinfo.html
1. Personal Details
2. Contact Details
Student ID number:
Mobile phone:
Email:
Family name:
@student.unimelb.edu.au
3. Program
Name of the degree/ program you are enrolled into:
Given names:
4. Details of Assignment
Subject code:
Subject name:
Assignment name or number:
Subject Coordinator/ tutor name:
Tutorial day/ time:
Assignment due date:
Is this assignment late?: Yes/ No (please circle)
Have you received an extension?: Yes/ No (please circle)
Plagiarism is the act of representing as one’s own original work the creative works of another, without appropriate acknowledgment of the
author or source.
Collusion is the presentation by a student of an assignment as his or her own which is in fact the result in whole or in part of unauthorised
collaboration with another person or persons. Collusion involves the cooperation of two or more students in plagiarism or other forms of
academic misconduct. Both collusion and plagiarism can occur in group work. For examples of plagiarism, collusion and academic
misconduct in group work please see the University’s policy on Academic Honesty and Plagiarism: http://academichonesty.unimelb.edu.au/
Plagiarism and collusion constitute cheating. Disciplinary action will be taken against students who engage in plagiarism and collusion as
outlined in University policy. Proven involvement in plagiarism or collusion may be recorded on your academic file in accordance with Statute
13.1.18.
5. Student Declaration
I declare that this assignment is my own original work, except where I have appropriately cited the original source. This assignment has not
previously been submitted for assessment in this or any other subject. For the purpose of assessment, I give the assessor of this assignment
permission to (please tick):
Reproduce this assignment and provide a copy to another
member of staff; and
Take steps to authenticate the assignment, including communicating
a copy of this assignment to a checking service (which may retain a
copy of the assignment on its database for future plagiarism
checking).
Student’s signature
Date
This form is also available on the internet : mbs.unimelb.edu.au/students/forms