| Title/Gender: | |
| Prof.: | Not selected |
| Dr.: | Not selected |
| Mr. | |
| Family Name: | Busold |
| First Name: | Simon |
| E-Mail: | s.busold gsi.de |
| Affiliation for Badge: | TU Darmstadt |
| Institute: | |
| Address (Street): | Schlossgartenstr. 2 |
| Postal Code, City: | 64289 Darmstadt |
| Country: | Germany |
| 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: | Alexander Frank, Oliver Deppert, Dennis Schumacher |
| Presentation: | Oral Presentation |
| Title: |