Confirmation of external verifier activity

Form CA2

Centre tracking of assessment and quality assurance

Wherever possible, please complete and distribute this form electronically to avoid unnecessary printing

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Centre no / ID:011565

Contact name:Claudette Earle

Centre name: Hammersmith & Fulham Adult Learning & Skills Service

Date of City & Guilds QC / ESC* activity://13

*Qualification Consultant/Employer Systems ConsultantThis form is provided to help a centre provide the information requested in section 4 of Form CA1. The form is not mandatory and the information can be provided using the centres own records. Please ensure that the all of the same information is included.Qualification noQualification title

374801 Functional Skills English Entry 1 CLAUDETTE

Candidate nameAssessment locationCentre enrolment dateCity & Guilds registration dateCity & Guilds registration no.Planned completion dateAssessor and IQA names(name Assessor first then Internal Quality Assurer second)Last date sampledDate completedDate certificate claimed

1George Mawoza MacSept 201426/11/14IRF683126/01/15C EarleS. Khan

28/02/1522/02/15

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