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null Chapter Request Form
We would like to thank you for showing your interest in starting a new null chapter. Please fill the form with required details.
For any query please feel free to reach out to
Pankaj@null.co.in
or
void@null.co.in
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Email
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Your email
Why do you want to start a null Chapter?
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Where do you want to start new null chapter?
Please mention specific city where you would like to start a new chapter. Example - Delhi
Your answer
Is there any pre-existing null chapter in your city?
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No
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Details of existing chapter
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Details of 3 individuals with whom you want to start null chapter
Name, Email, short bio, Occupation(please note they should not represent the same professional organization/Company)
Email of Proposed Chapter Lead 1
*
Your answer
Name of Proposed Chapter Lead 1
*
Your answer
Bio of Proposed Chapter Lead 1
Your answer
Twitter Handle of Proposed Chapter Lead 1
Example: @null0x00
Your answer
Email of Proposed Chapter Lead 2
*
Your answer
Name of Proposed Chapter Lead 2
*
Your answer
Bio of Proposed Chapter Lead 2
Your answer
Twitter Handle of Proposed Chapter Lead 2
Example: @null0x00
Your answer
Email of Proposed Chapter Lead 3
*
Your answer
Name of Proposed Chapter Lead 3
Your answer
Bio of Proposed Chapter Lead 3
Your answer
Twitter Handle of Proposed Chapter Lead 3
Example: @null0x00
Your answer
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