DICC Account Reactivation
** PLEASE READ BEFORE PROCEED **

In order to reactivate your account, please provide as much information as possible within this form so that we can verify your identity.

You should only fill up this form if you already have an account with DICC.
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Account Username *
Full Name *
Organisation / Faculty / Department / Research Group
*
Please state which Organisation / Faculty / Department / Research Group you are from.
Which user group do you belongs to?
*
Please select the user group that best describe you.
Current active institutional email address. *
Please state your currently active institutional email address.
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