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Step 1 - Choose login

Please fill in this page as yourself

Although you are signing up on behalf of someone else, we need your details on this page.
You can enter the details of the person you are registering on the next page.
All fields on this page are required.

Fields marked with are mandatory.

Your username can be your email address, or you can select another of your choosing. However it must be in lowercase and between 5 and 20 characters and contain no spaces.

Your password must contain at least one uppercase letter (A-Z), at least one lowercase letter (a-z), at least one numeric character (0-9) and must be at least 8 characters long.

Password Strength:

Security Questions

If you call one of the charity helplines about your Join Dementia Research account you will need to confirm that you are the account holder by providing the answers to these security questions. Please choose three questions you would like to be asked from the list below.