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

Security Questions

If you decide to call the 'Join dementia research' helpline, you will not be asked for your private password. The helpline will instead confirm that you are the account holder by asking you 3 security questions. Please choose the three questions that you would like to be asked from the list below.