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
Title
Full Name *
Mailing Address
Phone #
Primary Email *
Secondary Email
Website (if any)
Membership Type
Higher Education Institute
Institute/Organization *
Domain *
Discipline *
Area of Speciality
Industry Type
Focused Initiative 1
Focused Initiative 2
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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