Purpose For  Use     : Personal Company Corporate None                                            

First Name:Last Name:
[ Personal Name or  Company Name or  Corporate Name ]

Enter User ID                 @lycosind.com
Enter Password              
Re-Password                  
                                         DD     MON      YEAR
Date OF Birth                 01 02 03 04 05 06 07 08 09 10 11 12 13 14 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC 1940 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1980 1981 1982 1983 1984 1985 1986 1987 1988 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000
                               [ only personal Account can use this  ]
Any Other Mail ID        
Gender                             Male Female   
                               [ only personal Account can use this  ]
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Country                            India Australia Brazil

State                                Orissa Other
City                           Bhubaneswar Cuttack Other

City Code                       

Address 1                       
              2                        
              3                        

Select  Relation To Lycos Visitor Customer Lycos Staff Member

If customer ? Choose Division BSNL RAILWAY WIRELESS OTHER