Ref. No.		
About the person	
	
Person’s title:		Person’s full name:			
	
Position Title (within the company):			
	
Phone Number:		Fax Number:			
	
Email address:			
	
Contact address:	

What information?
	
Classification of the information:		Country of origin:		Foreign obligation:			
	
General description:	

		
	
Why does the above person need this information?	

		
	
How will the above information be communicated?
	
Describe proposed communication method:			
	
Communication start date:		Communication end date:			

Applicant’s signature, and authority details	ASNO use only	
	Approved:	____/____/______

__________________________
For Director General ASNO	
Name :				
		
Position:				
Signature:	___________________________	Date:	____/____/________		
	
Name of Authority Holder:		Authority number:			

Explanatory Notes

Ref No		A sequential reference number is required for each form of this type submitted by the Permit Holder (eg 001, 002, 003 etc). Where amendments are made to a previously submitted form, please use the same reference with a sequential revision number (eg 2005-003 Rev 1)	
Person’s full name		Must include all names, as they appear on your employment records, or on any previous application approval.	
Classification of the information		
Determined by reference to a classification guide.	
Foreign obligation		The prescribed International Agreement which the information is subject to.	
General description		For documents, include title and completion date.	
Proposed communication method		

The proposed communication method must be appropriate for the classification of the information, and may be stipulated in a classification guide.  If in doubt, ASNO should be consulted.	
Communication start/end dates		
The communication of information must:
(a)	not take place until approval has been granted (typically 5 working days after receipt of the application), and
(b)	take place only between the two dates listed.	
Applicant’s Signature		
This form must be signed by a representative of the Permit Holder (i.e. the organisation) who will take responsibility and sign documents on behalf of the organisation.	

This form replaces the following form 	ASO125 (Original – issued 1 January 2002)