Register With Us

First Name *

Last Name *

Date of Birth *

Company Name

Country Code *

Daytime Phone Number *

Phone Type *

Mailing Address *

Email Address *

Confirm Email Address *

Role *

Distributor Code / Firm ID *

Username*

Password *

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Passwords are case sensitive and must satisfy all of the following criteria:

Please note: Avoid using common words or phrases in passwords in order to improve security strength.

Confirm Password *

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Test password strength to continue *

Select a Question *

Your Answer *

Select a Question *

Your Answer *

Select a Question *

Your Answer *

All fields marked with * are required. User name is the name with which you log into the site.

Passwords are case senstive.

* Please record your Username and Password as they will NOT be sent to you.

If you need assistance, email MLBDIST@manulife.com.