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AFFIDAVIT OF PERSONAL RESPONSIBILITY
To Be Signed by Student
I declare that I personally completed this exam without any outside assistance, including course material, other source material, or assistance from any person(s).
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_______________________________________________________
Signature (Sign in ink only.) |
_________________________
Date |
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AFFIDAVIT OF EXAM COMPLETION
To Be Completed & Signed by Exam Monitor
I declare that I personally observed the above-named individual during the completion of this examination, and also observed that the producer received no outside assistance in completing the examination.
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Name of Student |
QUALIFIED RETIREMENT PLANS
Name of Course |
___________________________________________________________________________________
Address Where Exam Was Taken
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Exam Date |
____________________
Start Time |
____________________
End Time |
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Test Administrator (Please print.) |
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Job Title |
___________________________________
Company/Firm Name |
___________________________________
Business Phone |
______________________________________________________________________________
Business Mailing Address
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Signature of Test Administrator (Sign in ink only.) |
___________________________________
Date |
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