| Title/Gender: | |
| Prof.: | Not selected |
| Dr.: | Selected |
| Mr. | |
| Family Name: | Bornath |
| First Name: | Thomas |
| E-Mail: | thomas.bornath uni-rostock.de |
| Affiliation for Badge: | Universität Rostock |
| Institute: | Institut für Physik |
| Address (Street): | Universitätsplatz 3 |
| Postal Code, City: | 18051 Rostock |
| Country: | Germany |
| Phone: | +49 3814986915 |
| Fax: | +49 3814986912 |
| Payment: | Bank transfer to GSI |
| Arrival Date: | January 29 |
| Departure Date: | February 3 |
| Room: | Double room |
| I want to share my room with: | Dr. Robert Thiele |
| Presentation: | Oral Presentation |
| Title: |