| Title: | Mr. |
| Family Name: | Becker |
| First Name: | Dominik |
| Gender: | male |
| E-Mail: | dombeck web.de |
| Affiliation for Badge: | Universität Mainz |
| Institute: | Institute for nuclear physics |
| Address (Street): | Johann-Joachim-Becher-Weg 45 |
| Postal Code, City: | 55128, Mainz |
| Country: | Germany |
| Phone: | 06131-39-25369 |
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| Arrival Date: | January 15 |
| Departure Date: | January 22 |
| Accommodation: | Waldemar-Petersen-Haus |
| Room Type: | Double room ( ~220 Euro ) |
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