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Interest gathering form

Please add your details. I'll be contacting you shortly through to see how you can join the movement.
1.Name(Required.)
2.Current location(Required.)
3.Preferred locations to work in(Required.)
4.Do you prefer work from home over in office work??(Required.)
5.Areas of interest that you'd like to work on? Don't limit yourself. Give detailed description. Sectors / functions / lines of work etc.(Required.)
6.Linkedin profile link(Required.)
7.Contact number (with country code)(Required.)
8.Email address(Required.)
9.If after going through the Bridge of Logic, you have any thoughts and comments to share with me, feel free to share