Ref. No.		
A new project or a change to an existing one?	
	
Is it a new project?		Date of expected commencement:			
OR….	
A change to an existing one?		Changes to an approved project must be notified to ASNO
within 24 hours of the permit holder’s approved change	
	
Details of the project    If insufficient space, then send attachments
	
Title of the project:			
	
Project description:	

Building / location where project is to be undertaken:	

Project approved by:		Date approved:			
	
Details of nuclear materials or associated items being used
	
Nuclear material or associated items to be used:			
	
Specify title of accountancy & control, or security procedures			
	
Contact officer’s details:			
	
Change to an Approved Project    if applicable
	
Details of change:			
	
Reasons for change:			

Signature and permit details	
	
Name :			
	
Position:			
	Signature:	_____________________________________	Date:	____/____/________	
	
Permit Holder:		Permit No:			
	
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)	
Date of expected commencement		
ASNO must be notified at least 10 working days prior to commencement of the project	
Project description		Include the purpose and/or goals of the project or activity, and if insufficient room, provide attachments.	
Details of change		Specify the date that the change was authorised, and the changes made to the project, the nuclear material and/or associated items, the project goals and/or the procedures.
Changes to an approved project must be notified to ASNO
within 24 hours of the permit holder’s approved change.	
Reasons for change		Describe the reasons for the changes to the project..	
Signature		This form must only be signed by an individual authorised by the Permit Holder to provide this application, notification or report.	

This form replaces the following forms 	ASO227 (version1 - issued 22 July 2010) and ASO228