DontiaLife Registration

life-register01
apple01
android01
login02

Fill in your details below to register for DontiaLife membership. We will inform you via email once our DontiaLife portal is Live!

  • Your Name

  • Contact Info

  • Strength indicator

    By consenting this membership application form, you agree that DontiaLife  may collect, use and disclose your personal data, as provided in this application form, or (if applicable) obtained by our organisation as a result of your membership, for the following purposes in accordance with the Personal Data Protection Act 2012 and our data protection policy : (a) the processing of this membership application; and (b) the administration of the membership with our organisation.(c) Providing electronic mailer that you agree to receive. Please visit our website at for further details on our data protection policy, including how you may access and correct your personal data or withdraw consent to the collection, use or disclosure of your personal data.