Last updated on 16-11-2022 by Pierre Daubresse You must have JavaScript enabled to use this form. Use of the FOOD CONSUMPTION SURVEY 2014-2015 data Name of the applicant * Position * Institution * Street and number * Postcode * City * Phone number * Email address * Would like to use the 2014-2015 Food Consumption Survey data under the conditions described in the protocol agreement for the project below (one application per project): Name of the research project * Project coordinator: (if different from the applicant’s coordinates) Name Institution Street and number Postcode City Phone number Email address Short description research project * Type of application * Access to an anonymous database Submit an application to the Information Security Committee Start date of project * Day12345678910111213141516171819202122232425262728293031 Day MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Year End date of the project * Day12345678910111213141516171819202122232425262728293031 Day MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Year Sources of the project funding * Your contact information is collected in accordance with the General Data Protection Regulation (EU) 2016/679 (GDPR) in order to contact you concerning your request. You have the right at any time to access, modify, delete or restrict the use of your data. To exercise these rights, you can contact The project responsible at fcs@sciensano.be or Sciensano’s Data Protection Officer at dpo@sciensano.be or 02/642.51.02. If you have a complaint about the way your data are being processed, you can contact the Belgian Data Protection Authority: Drukpersstraat 35, 1000 Brussels – Tel: 02/274.48.00 – contact@apd-gba.be I give my consent to store my contact information in the context of my FCS 2014-2015 data request. consent contact information * I give my consent to store my contact information for other purposes such as informing about updates of the FCS data or inviting to events organized by Sciensano. consent contact information other purposes Leave this field blank Submit
