Scribd
Upload
1K views

AI Declaration Form

AI Declaration Form

Uploaded by

Lily Lau
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
1K views

AI Declaration Form

AI Declaration Form

Uploaded by

Lily Lau
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 3

Honour Declaration for Individual Assessment/Assignment

Student Name Department Student ID

Programme Subject Title & Code (for the assignment concerned)

Section A
1. Tick one of the following boxes to indicate the assessment/assignment requirement related to
using Generative AI (GenAI):

 Using GenAI is permissible in this assessment/assignment (Complete Section B of this form)


 Using GenAI is not permissible in this assessment/assignment (Complete Section C of this
form)

2. Please tick to confirm all of the following:

 I have read and understood the University’s disciplinary regulations concerning conduct in
examinations and, in particular, the regulations on academic integrity.
(https://www.polyu.edu.hk/ar/docdrive/polyu-students/student-
handbook/Student_Handbook_202324_English.pdf) (pp. 37–40, pp. 71–73)
 I have read and understood the University’s “Guidelines for Students on the Use of
Generative Artificial Intelligence”. (https://www.polyu.edu.hk/ar/docdrive/polyu-
students/Student-guide-on-the-use-GenAI.pdf)
 I have read, understood and followed the requirements of this subject and, in particular, the
requirements related to using GenAI in this assessment/assignment.
 The work in this assessment/assignment is my own work. No part of this
assessment/assignment is taken from other people’s work and/or other sources, including
GenAI output, without giving them credit through proper referencing. All references have
been clearly cited in the convention and format appropriate for this assessment/assignment.
 I acknowledge that any unauthorised or unacknowledged use of GenAI in assessments is
considered to be an act of academic dishonesty. Students who are found committing academic
dishonesty will face disciplinary actions. Penalties may include reduced grades, failed
subjects, and suspension and expulsion from the University.

Section B:
For assessments/assignments that permit the use of GenAI
 I declare that GenAI tools have not been used to prepare and produce the submitted
work.
 I declare that GenAI tools have been used to prepare and produce the submitted work.
The GenAI tools used and the manner in which they were used are as follows:

The GenAI tools used How I have used the tool (*Please refer to Specific tasks/parts I have used
(name each one) the list of usage at the end of the form) GenAI for (if applicable)

Section C
For assessments/assignments that do not permit the use of GenAI

 I declare that no GenAI tool has been used in any way during the process of
preparing the submitted work.

Section D

I understand that an infringement of this declaration leaves me subject to disciplinary action by The
Hong Kong Polytechnic University.

Signature Date

*Use the following to complete Section B of the form. If you choose “F” or “G”, please specify and
elaborate.
A. Brainstorming/generating ideas
B. Creating a structure for the assessment/assignment based on my own ideas
C. Identifying grammatical mistakes/errors of the assessment/assignment
D. Improving the clarity of my own work
E. Using GenAI to complete certain elements of the task (please specify the element/s, e.g. creating
images, analysing data, generating text for critique and comparison, etc.)
F. Partnering with GenAI to complete multiple tasks/parts of the assessment/assignment (please
specify the tasks/parts)
G. Using GenAI to translate some components of the work or the entire piece of work
H. Others (please specify and elaborate)

You might also like