Biosafety Advisory Council

Secretariat
O./ref.: WIV-ISP/41/BAC/2012_0765

Nomination form for the expert group ‘Novel Food/Feed'

Version September 2012

Please return the completed and signed form together with a copy of your CV to the SBB by post, fax or email

Address: Biosafety and BiotechnologyUnit, Scientific Institute of Public Health,
rue Juliette Wytsmanstraat, 14 - B 1050 Brussels – BELGIUM
Email:

Last name:......

First name:......

Gender: ...... Year of birth: ......

Identification number of the national register: ......

  • Commitment

please tick and delete where appropriate

OI want to participate/to continue participating in the Expert group ‘Novel Food/Feed'. Please complete the form below.

OI don't want to participate in the Expert group ‘Novel Food/Feed’ any longer.

  • Contact details

Title(s): O Prof.O Dr.O Eng.

Institution:......

Department:......

Address :......

tel :......

email :......

  • Payment

Please fill in the number of the personal account to which reimbursements should be transferred

IBAN Account number :......

Account holder name :......

Account holder address :......

Wetenschappelijk Instituut Volksgezondheid | Institut Scientifique de Santé Publique

Afdeling Bioveiligheid en Biotechnologie | Section Biosécurité et Biotechnologie

Rue Juliette Wytsmanstraat 14 | B-1050 Brussels | Belgium

T + 32 2 642 52 11 | F + 32 2 642 52 92 | |

WIV-ISP/41/BAC_2012_0765 / p1/3
  • Expertise

This section allows you to specify your main area(s) of expertise for contribution to the Expert Group. Please indicate only the particular subjects in which you have specialized expertise.

Research disciplines

 Nutrition
 human
 animal
 Toxicology
 in vivo
 in vitro
 Allergology
 immunological aspects
 alimentary allergens
 plant allergens
 Metabolism
 Analysis of food/feed
(bio)chemistry of food/feed
 omics
 chemistry of food/feed
 detection of probiotics
 kinetics of enzymes, nutrients
 nutritional quality testing
 Risk analysis (HACCP)
 food/feed safety
Probiotics
Nutrigenomics
 Food/feed processing /  Waste
 recycling of biomass
 biomass wastes
 Additives for food/feed
 Traceability of alimentary chain
 Post-market monitoring of food/feed
 Statistics

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 Other relevant disciplines: ………………………………………………………………………......
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I hereby confirm that the above information is correct. I have no objection to the fact that my name and affiliation will be made publicly available on the Biosafety Council website.

Date :

Signature :

Copy of CV added:

  • Additional comments

......

......

......

Wetenschappelijk Instituut Volksgezondheid | Institut Scientifique de Santé Publique

Afdeling Bioveiligheid en Biotechnologie | Section Biosécurité et Biotechnologie

Rue Juliette Wytsmanstraat 14 | B-1050 Brussels | Belgium

T + 32 2 642 52 11 | F + 32 2 642 52 92 | |

WIV-ISP/41/BAC_2012_0765 / p1/3