Email: bac@wiv

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 Biotechnology Unit, Scientific Institute of Public Health,
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: ...................................................

Commitment
please tick and delete where appropriate
O I want to participate/to continue participating in the Expert group ‘Novel Food/Feed'. Please
complete the form below.
O

I 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 | [email protected] | www.bio-council.be
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
 Waste
 recycling of biomass
 biomass wastes
 Toxicology
 in vivo
 in vitro
 Additives for food/feed
 Allergology
 immunological aspects
 alimentary allergens
 plant allergens
 Post-market monitoring of food/feed
 Traceability of alimentary chain
 Statistics
 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
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
WIV-ISP/41/BAC_2012_0765
p2/3
 Other relevant disciplines:
………………………………………………………………………....................................................................
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
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 | [email protected] | www.bio-council.be
WIV-ISP/41/BAC_2012_0765
p3/3