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Volunteer form
Join the Movement: Drive Change with Dr. CN Manjunath!
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E-mail address
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Contact number
Which constituency you belong to
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Required
Are you available to volunteer on a full-time or part-time basis? *
What is your preferred mode of volunteering for Dr CN Manjunath's campaign? *
Name *
What is your preferred language of communication which you can campaign in?
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Availability - days of week
How much time can you devote for volunteering - in numbers per week
Areas of expertise *
Any additional information you would like to share
What issues are most important to you in this campaign? *
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