| Title/Gender: | |
| Prof.: | Not selected |
| Dr.: | Not selected |
| Mr. | |
| Family Name: | Cayzac |
| First Name: | Witold |
| E-Mail: | w.cayzac gsi.de |
| Affiliation for Badge: | University of Bordeaux |
| Institute: | |
| Address (Street): | CELIA - 351 Cours de la Libération |
| Postal Code, City: | 33405 Talence |
| Country: | France |
| Phone: | |
| Fax: | |
| Payment: | Bank transfer to GSI |
| Arrival Date: | January 29 |
| Departure Date: | February 3 |
| Room: | Four-bed room |
| I want to share my room with: | Alex Ortner, Alexander Frank, Dominik Kraus |
| Presentation: | Poster Presentation |
| Title: |