This template can be adjusted based on specific institutional requirements or additional guidelines related to AI usage.
| Module Code | |
| Module Title | |
| Academic Year/Semester | |
| Assignment | |
| Module Leader | |
| Name | |
| Student ID | |
| Word Count (not including References/Appendices) |
I ______________________, hereby declare that the work presented in this assignment is entirely my own, and I have fully complied with the requirements and regulations set forth in the assessment brief. I affirm that:
1. I have independently carried out all research, analysis, and writing contained within this submission, unless otherwise stated and appropriately referenced.
2. This assessment has not previously been submitted as part fulfilment of any module assessment requirement.
3. If I have utilised generative AI tools at all, it is only in the manner permitted by this assessment's specific guidelines and in compliance with the institution's principles on AI usage. I have retained records of engagement with these systems.
4. I have retained records of any generative AI use and I am prepared to submit to the Module Leader or the Academic Integrity Unit, should these be required.
5. I have used literacy software (e.g. Grammarly) where recommended by the UL Disability Support Service (DSS) and I have only used versions officially specified and endorsed by the DSS I have retained drafts of my work to submit to the Module Leader or the Academic Integrity Unit, should these be required.
6. I understand that any violation of the assessment regulations, including unauthorised use of AI tools or failure to properly attribute sources, may result in disciplinary action as described in the UL Academic Integrity Policy and UL Procedures for Managing Allegations of Academic Misconduct.
Signed: _____________________________
Date: _______________________________