Form ASO106
(Replaces several forms – see Page 2 for details)
APPLICATION to TRANSFER MATERIAL
(Import, Export or Domestic Transfer)
PART A – Application
Ref. No.
Details about the Transfer
Proposed date of transfer
Import from overseas? ...
Export overseas? .....
Are you the Sender? ......
…..or the Receiver? ...
Domestic Transfer? .....
Your Permit Number:
Other Party details
Permit No.
(if applicable)
Organisation’s Name:
Physical Address:
Material details
Batch number:
Item Identification:
Material category:
Chemical/physical
form, and purity:
For enriched uranium
Element Weight:
Kg .........
grams ....
235
233
U grams
U grams:
Proposed use of
the material after
transfer:
Shipment / transport / packing / unpacking details
Name of carrier:
Carrier’s
Permit No:
Containment :
Physical location where responsibility
for the import / export is transferred
(if applicable):
Proposed date and location of
packing / unpacking of import / export
(if applicable) :
ASNO use only
Applicant’s Signature
Faxed to
Name :
____/____/______
DRET ...
Position:
Signature:
Approved:
____________________________________
Date: ____/____/________
Permit Holder:
PART B – Confirmation of transfer
__________________________
For Director General ASNO
Permit number
Must be faxed to ASNO by 12 PM on the next working day after the transfer.
Actual date of transfer:
Name :
APPLICATION WITHDRAWAL .........
Signature : ______________________
F.ASO106.7-21Jan2011
Date : ____/____/________
Form ASO106
(Replaces several forms – see Page 2 for details)
APPLICATION to TRANSFER MATERIAL
(Import, Export or Domestic Transfer)
Explanatory Notes
This application is only required if a permit holder is aware that nuclear material will be transferred either in
(receiver) or out of (shipper) their physical possession for more than 30 calendar days, or where ownership of
the material changes.
ASNO will fax approved export applications to DRET (Department of Resources, Energy and Tourism) to satisfy
requirements of Regulation 9 of the Customs (Prohibited Exports) Regulations 1958.
Ref. No ..........................
Proposed date of
transfer.........................
Other Party Details .....
Batch number / Item
Identifier .......................
Material category ........
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).
ASNO must be notified at least 2 working days in advance of the planned transfer,
but in any case, ASNO approval must be granted before the event. Note that
approvals are typically returned within 7 working days after receipt of application.
Provide details of the importing organisation if exporting or the exporting
organisation if importing nuclear material or associated material. If transferring
nuclear material domestically, the receiver must have a permit issued by ASNO to
possess nuclear material
Either one or several items with the same chemical and isotopic composition,
physical form. Provide individual item identifiers (eg serial numbers) where known.
Options are D (depleted uranium), N (natural uranium), L (uranium enriched to
<20%), H (uranium enriched >20%), P (plutonium), T (thorium), W (heavy water),
or G (graphite)
Proposed use of the
material after transfer .... For example, “Storage”, “Research”, “Industrial Radiography”, “Environmental
Tracer”, and “Production of medical isotopes”.
Chemical / Physical
form and Purity ...........
Provide chemical formula (or name if unknown) and describe physical form. Eg
UF6 gas, UO2 powder, metal shielding block, Thorium nitrate solution, etc.
Common compounds are described for example in the Handbook of Chemistry
and Physics and the Merck Index. Describe also purity of batch eg
heterogeneous, variable, manufactured, standard etc.
Element weight ...........
This refers to the contained weight of nuclear material in the compound.
Eg U weight = 84.8% U3O8 weight. Use compound weight for Heavy Water. Use
‘Kg’ for natural / depleted uranium, thorium and Heavy Water, and use ‘grams’ for
enriched uranium and plutonium.
Containment ................
Describe type and size/volume of container. Eg. 100g bottle, 0.5 litre flask, within
radiography camera.
Carrier’s permit
number .........................
Some amounts of nuclear material require that a 3 rd party carrier obtain a permit to
transport nuclear material. A carrier’s permit is not required for material prescribed
by the Nuclear Non-Proliferation (Safeguards) Regulations for the purpose of subsection 24(1) of the Nuclear Non-Proliferation (Safeguards) Act 1987.
Applicant’s Signature .... This form must only be signed by an individual authorised by the Permit Holder to
provide this application, notification or report.
Part B – Confirmation
of transfer ....................... After the transfer has taken place, enter the ‘Actual date of transfer’ and fax to
ASNO by 12 pm on the next working day after the transfer. If the transfer was
cancelled, check the box “Application Withdrawal” and fax to ASNO.
This form replaces the
following forms 
F.ASO106.7-21Jan2011
ASO106 (revision 6 – issued 22 July 2010), ASO107, ASO204 and ASO205