Become a DICE Member

Please read the Instructions carefully before filling the membership form

  • aesterik (*) means mandatory
  • User name / Password must be atleast 6 to 20 characters long
  • Special Characters are not allowed in login / password except underscore (_)
  • You must agree to the DICE Terms of Service
Membership Details
Full Name *
Country *
Province *
Mailing Address
Phone #
Primary Email *
Secondary Email
Website (if any)
Membership Type
Higher Education Institute
Institute/Organization *
Domain *
Discipline *
Industry Type
Focused Initiative 1
Focused Initiative 2
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Account Information (For using DICE Portal)
User Name *
Password *
Re-Type Password *  
Terms and Conditions
I agree to the DICE Terms of Service

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