| Title/Gender: | |
| Prof.: | Not selected |
| Dr.: | Not selected |
| Mr. | |
| Family Name: | Autrique |
| First Name: | David |
| E-Mail: | dautriqu physik.uni-kl.de |
| Affiliation for Badge: | Universität Kaiserslautern |
| Institute: | OPTIMAS |
| Address (Street): | Erwin Schrödinger-Strasse 46 |
| Postal Code, City: | 67663 Kaiserslautern |
| Country: | Germany |
| Phone: | ++49 6312053576 |
| Fax: | |
| Payment: | Bank transfer to GSI |
| Arrival Date: | January 29 |
| Departure Date: | February 3 |
| Room: | I make my own arrangements |
| I want to share my room with: | |
| Presentation: | Oral Presentation |
| Title: |