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Biosafety Advisory Council
Secretariat
O./ref.: WIV-ISP/41/BAC/2015_0166
Nomination form for the expert group ‘Novel Food/Feed'
Version March 2015
Please return this form completed and signed, together with a copy of your CV, to the SBB by post or
email.
Address:
Scientific Institute of Public Health, Biosafety and Biotechnology Unit (SBB)
Rue Juliette Wytsmanstraat, 14 - B 1050 Brussels – BELGIUM
Email: [email protected]
Last name : ..............................................................................................................................................
First name ...............................................................................................................................................
Gender: ....................................................................................................................................................
Year of birth: ...........................................................................................................................................
Identification number of the National Register: ..................................................................................
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Commitment (please tick and delete where appropriate)
O I want to participate / to continue participating in the Experts group ‘Novel Food/Feed'.
Please complete the form on the next pages.
O
I don't want to participate in the Experts group ‘Novel Food/Feed' any longer.
Could you explain briefly why you no longer wish to participate in this Expert group:
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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 | [email protected] | www.bio-council.be
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
Contact details
Title(s): O Prof.
O Dr.
O Eng.
Institution : ...........................................................................................................................................
Department : .......................................................................................................................................
Address : .............................................................................................................................................
............................................................................................................................................................
Tel. : ....................................................................................................................................................
Email : .................................................................................................................................................
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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 : ....................................................................................................................
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Expertise
This section allows you to specify your main area(s) of expertise for contribution to the Expert
Group. Please tick the appropriate box(es) in the table below, indicating only the specific topics in
which you have specialised expertise.
Research disciplines
 Nutrition
 human
 animal
 Waste
 recycling of biomass
 biomass wastes
 Toxicology
 in vivo
 in vitro
 Additives for food/feed
 Animal feeding trials
 Traceability of alimentary chain
 Allergology
 immunological aspects
 alimentary allergens
 plant allergens
 Post-market monitoring of food/feed
 Novel food/feed ingredients
 Statistics
 Metabolism
continues next page
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 | [email protected] | www.bio-council.be
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 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
 Other relevant disciplines:
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I hereby confirm that the above-mentioned information is accurate.
I have no objection to the fact that my name and affiliation will be made publicly available on the
Biosafety Council website (www.bio-council.be).
Date :
Signature :
Copy of CV added:
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Additional comments
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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 | [email protected] | www.bio-council.be
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