The Secretary

AIS Ethics Committee

PO BOX 18, Belconnen ACT 2617

Ethics@ausport.gov.au

(Day) (Month), (Year)

Dear Secretary,

Re:	AIS ETHICS APPROVAL NUMBER: XXXXXXXX

I/We would like to request a variation to the approved ethics application for: project title.

(Description of variation)

Yours sincerely,

(Signature)

Name of the Chief Investigator