Biosafety Advisory Council
Secretariat
O./ref.: WIV-ISP/41/BAC/2015_0168
Nomination form for the expert group
‘Genetically modified micro-organisms - Bacteria and Fungi’
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: bac@wiv-isp.be
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 Experts group ‘Genetically modified
micro-organisms - Bacteria and Fungi’.
Please complete the form on the next pages.
O
I don't want to participate in the Experts group ‘Genetically modified micro-organisms -
Bacteria and Fungi’ any longer.
Could you explain briefly why you no longer wish to participate in this Expert group:
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
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 | bac@wiv-isp.be | www.bio-council.be
WIV-ISP/41/BAC_2015_0168
p1/4

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 : ....................................................................................................................

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.
 Biology and Genetics
 microbial genetics
 molecular genetics
 genetics of populations
 microbial genomes
 biocomputing
 genetical taxonomy
 phylogeny
 genome plasticity
 plasmidology
 insertion sequence,
transposons, integrons
 bacteriophages
 physiology
 proteomics
 genomics
 metabolomics epigenetics
 metagenomics
 synthetic biology
 Microbiology
 humans
 animals
 plants
 algae
 fungi
 pathogenicity and virulence
mechanisms
 bacterial toxins
 immunology
 antimicrobials
 bacterial vaccines
 bacterial vectors
 medical mycology
 mycotoxins
 epidemiology of transmissible
diseases, included hospital
infections
 aerobiology
 microbial symbionts
 quarantine organisms
 Industrial
microbiology
 fermentation
engineering
 enzymatic engineering
 heterologous
expression
 bioconversion
 bioprocesses
 biomaterials
 production norms
 Good Manufacturing
Practice
 quality control for
biotechnology products
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 | bac@wiv-isp.be | www.bio-council.be
WIV-ISP/41/BAC_2015_0168
p2/4
 MEDICINE :
 Human or  Veterinary
 clinical trials
 clinical biology
 physiology
 epidemiology
 immunology
 hematology
 infectiology
 public health
 toxicology
 vaccinology
 Pharmacy
 galenic
 registration of veterinary
medicinal products
 registration of
pharmaceuticals for human use
 Good Manufacturing
Practice
 regulations
 pharmacovigilance
 quality control for
biotechnology products
 Food microbiology
 quality control of products
 HACCP
 probiotics

 Microbial ecology
 soils
 water
 air
 genetics and environment
 microbial communities
 taxonomy
 biogeochemical cycles
 competition between
microorganisms
 interactions substratesmicroorganisms
 biofilms
 quorum sensing
 secreted metabolites
 influence of toxic substances,
antiseptics, genotoxics on
microbial ecology
 gut microbiology
 resistance mechanisms
 commensalism and parasitism
 modelisation in microbial
ecology
 detection and surveillance
 biofilms
 extremophiles
 genetics of populations
 Biotechnologies
 biopharmaceutic and
biotherapeutic
 production of
molecules of commercial
interest
 industrial
biotechnology
 recycling of biomass
 waste handling
 biocontrol
 biopesticides
 biofertilizers
 cleaning products
 phytostimulation
 biocatalyse
 bioremediation
 biolixiviation
 diagnostic kits
 aerobic digestors
 anaerobiodigestors
 biomethanisation
 water treatment
 agriculture use of
sewage sludge
 soil improvement
 composting
 production food/feed
 plant protection
 biofuels
 Biosafety
 biological markers
 containment measures
 emergency plans
 monitoring/tracing techniques
 risk assessment of biotech products
 risk management
 routes of biological dispersal
 transfer of genetic material in the ecosystem
 antibiotic resistance genes
 waste management
 workers protection
 horizontal gene transfer
Please specify the organism(s) for which you have expertise, indicating genus and species
where possible :
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
 Other relevant disciplines :
…………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
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 | bac@wiv-isp.be | www.bio-council.be
WIV-ISP/41/BAC_2015_0168
p3/4
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

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 | bac@wiv-isp.be | www.bio-council.be
WIV-ISP/41/BAC_2015_0168
p4/4