Step 1: Personal Information

If you have already registered for the DAT, enter your name exactly as it appears on your DAT registration form. Incomplete or faulty name and address information may delay or even prevent the arrival of correspondence and preparation materials to you.

* Indicates required information.

E-mail Address: * 

First Name: *

Last Name: *

Middle Initial:

Date of Birth: *
MonthJanFebMarAprMayJunJulAugSepOctNovDec / Day12345678910111213141516171819202122232425262728293031 / Year2009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901

Address 1: *

Address 2:

City: *

Province/State: *
-- Select -- Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory -- US -- Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virgina Wyoming N/A ________________________

Other if applicable:

Country: *
-- Select -- Canada United States of America Afghanistan Albania Algeria Andorra Anguilla Antilles Argentina Armenia Aruba Aukland Australia Austria Bahamas Bahrain Bangladesh Barbados Belgium Belize Bermuda Bolivia Bosnia and Herzegovina Brazil British West Indies Brunei Bulgaria Burma Cambodia Cameroon Canary Islands Cayman Islands Chile China Colombia Congo Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Dominica Island Dominican Republic Ecuador Egypt El Salvador England Estonia Ethiopia Fiji Finland France Germany Ghana Greece Greenland Grenada Guadeloupe Guatemala Guyana Haiti Holland Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kenya Kosovo Kuwait Kyrgyzstan Laos Lebanon Liberia Libya Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Mauritius Mexico Mongolia Montenegro Morocco Mozambique Myanmar Nepal Netherlands New Guinea New Zealand Nicaragua Niger Nigeria North Korea Northern Ireland Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Qatar South Africa Reunion Island Romania Russia Saudi Arabia Scotland Senegal Serbia Sierra Leone Singapore Slovakia Slovenia Somalia South Korea Spain Sri Lanka St. Lucia Sudan Surinam Swaziland Sweden Switzerland Syria Taiwan Tanzania Thailand Trinidad Tunisia Turkey Uganda Ukraine United Arab Emirates United Kingdom Uruguay Venezuela Wales West Indies Yemen Yugoslavia Zaire Zambia Zimbabwe ________________________

Postal/Zip Code: *

Telephone (area code + number): *

To ensure prompt delivery of materials and correspondence, please check information entered for accuracy before continuing.