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Faculty of Science Honesty Declaration Individual Work This form must be completed and attached to your completed assignment upon submission to your Instructor. Only assignments accompanied by this Honesty Declaration will be accepted for marking. I the undersigned declare that the attached assignment is wholly the product of my own work and that no part of it has been copied by manual or electronic means from any work produced by any other person s present or past including tutors or tutoring services based on laboratory work that I did not complete due to unexcused absence s produced by several students working together as a team this includes one person who provides any portion of an assignment to another student or students copied from any other source including textbooks and web sites or modified to contain falsified data except as directly authorized by the Instructor. I understand that penalties for submitting work which is not wholly my own or distributing my work to other students is considered an act of Academic Dishonesty and is subject to penalty as described by the University of Manitoba s Student Discipline Bylaw. Please PRINT all information Last Name First Name Student Number UM Email Course Section Assignment Date Signature Penalties that may apply as provided for under the University of Manitoba s Student Discipline By-Law range from a grade of zero for the assignment failure in the course to expulsion from the University. The Student Discipline By-Law may be accessed at http //umanitoba*ca/admin/governance/policies/section1200/1202. I understand that penalties for submitting work which is not wholly my own or distributing my work to other students is considered an act of Academic Dishonesty and is subject to penalty as described by the University of Manitoba s Student Discipline Bylaw. Please PRINT all information Last Name First Name Student Number UM Email Course Section Assignment Date Signature Penalties that may apply as provided for under the University of Manitoba s Student Discipline By-Law range from a grade of zero for the assignment failure in the course to expulsion from the University. Please PRINT all information Last Name First Name Student Number UM Email Course Section Assignment Date Signature Penalties that may apply as provided for under the University of Manitoba s Student Discipline By-Law range from a grade of zero for the assignment failure in the course to expulsion from the University. The Student Discipline By-Law may be accessed at http //umanitoba*ca/admin/governance/policies/section1200/1202. I understand that penalties for submitting work which is not wholly my own or distributing my work to other students is considered an act of Academic Dishonesty and is subject to penalty as described by the University of Manitoba s Student Discipline Bylaw. Please PRINT all information Last Name First Name Student Number UM Email Course Section Assignment Date Signature Penalties that may apply as provided for under the University of Manitoba s Student Discipline By-Law range from a grade of zero for the assignment failure in the course to expulsion from the University. The Student Discipline By-Law may be accessed at http //umanitoba*ca/admin/governance/policies/section1200/1202.

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