Ref. No.		

Details	
	
The following information is required to enable ASNO to meet Australia’s reporting obligations under Articles 2a(x) and 2b(i) of the International Atomic Energy Agency’s Additional Protocol (INFCIRC/540).

Describe Nuclear fuel cycle related research and development as defined in Article 18 of INFIRC/540 planned for the succeeding 10 year period, including those classed as “Approved Projects or Activities” in your Permit.
--  INFORMATION MAY BE EXPANDED UPON IN ATTACHMENTS IF NECESSARY  --	

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, 003-Rev.1).	
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 	ASO315 (Version 1 issued 14 March 2003)