Locked Bag 588, Boorooma St, WAGGA WAGGA NSW 2678 T: +61 2 6933 4322 | E: animalethics@csu.edu.au | research.csu.edu.au/integrity-ethics-compliance Charles Sturt University – TEQSA Provider Identification: PRV12018 (Australian University). CRICOS Provider: 00005F. ABN: 83 878 708 551

Animal Care and Ethics Research Integrity Unit

ANIMAL CARE AND ETHICS COMMITTEE

Project Modification Form

1.	Name of Project

<Project Name>

2.	Protocol No.

<XX/XXX>

3.	Principal Investigator or Chief Instructor:

<Full Name, including Title (e.g., Professor, Associate Professor, Dr.)>

<School Name>

4.	Project type (please mark applicable box with an X)

Teaching
Practical Class Fieldwork Activity
Research
Wildlife Research

5.	Nature of Modification

Provide both the section number and the section heading (e.g., 8. Have any animals to be used in this project been the subject of previous teaching applications, 17. Procedures which may have an impact on the animal/s’ wellbeing) under “Item”

Please provide a summary of the original component of the project approved by the Committee under “Previous Submission”

Please explain what the modification you wish to make is, justifying your reasons for the amendment to your project, under “Proposed Amendment”

Item	Previous Submission	Proposed Amendment

Signature	Date