| Title/Gender: | |
| Prof.: | Not selected |
| Dr.: | Selected |
| Family Name: | Zielbauer |
| First Name: | Bernhard |
| E-Mail: | b.zielbauer gsi.de |
| Affiliation for Badge: | GSI, Darmstadt |
| Institute: | |
| Address (Street): | Planckstr. 1 |
| Postal Code, City: | 64291 Darmstadt |
| Country: | Germany |
| Phone: | |
| Fax: | |
| Payment: | Bank transfer to GSI |
| Arrival Date: | February 1 |
| Departure Date: | February 3 |
| Room: | Single room |
| I want to share my room with: | Vincent Bagnoud (reist am 1.2. ab) |
| Presentation: | No Presentation |
| Title: |