Registration Form

TO KAINGA

First Name
Middle Name
Surname
Address
 
 
Country
Gender
Home Number Mobile
Email Address
Date of Birth

O TAMARIKI

All children of the registering member

First Name Surname Date of Birth Gender

TO WHANAU

All siblings of the registering member

First Name Surname Date of Birth Gender

WHAKAPAPA

Whangai

Please tick the box if you are Whangai (do not Whakapapa to Ngati Tuwharetoa but adopted by a Person of Tuwharetoa descent).

PLEASE COMPLETE THE BOX THAT CONNECTS YOU TO NGATI TUWHARETOA

Your Father
Hapu
Date of Birth
Your Grandfather
Hapu
Date of Birth
Your Grandmother
Hapu
Date of Birth
Your Mother
Hapu
Date of Birth
Your Grandfather
Hapu
Date of Birth
Your Grandmother
Hapu
Date of Birth

Please add any other information you may have regarding your Whakapapa

MARAE AND HAPU INFORMATION

Taiwhenua Hapu

TAI HAUAURU HIKUWAI MATAAPUNA TAI TONGA
Ngati Haa  Ngati Hinerau  Ngati Hine  Ngati Hikairo
Ngati Moekino  Ngati Hineure  Ngati Hineure  Ngati Tamakopiri
Ngati Parekaawa  Ngati Rauhoto  Ngati Kurauia  Ngati Waewae
Ngati Tarakaiahi  Ngati Ruingarangi  Ngati Manunui  Ngati Whiti
Ngati Te Kohera  Ngati Te Kapawa  Ngati Rongomai  
Ngati Te Maunga  Ngati Te Urunga  Ngati Te Mahau  
 Ngati Wairangi  Ngati Tutemohuta  Ngati Turangitukua  
   Ngati Tutetawha  Ngati Turumakina  
     Ngati Te Rangiita  

Taiwhenua Marae

TAI HAUAURU HIKUWAI MATAAPUNA TAI TONGA
Mokai  Maroanui  Hirangi  Moawhango
Ongaroto  Nukuhau  Kakahi  Opaea
Poukura  Oruanui  Kauriki  Otukou
Waihaha  Pakira  Korohe  Papakai
Whanganui  Tutetawha  Maniaiti  Hikairo (Te Rena)
   Waipahihi  Petania  Tokorangi
   Te Rangiita  Pukawa  
     Rongomai  
     Te Mahau  
     Tokaanu  
     Waihi  
     Waitetoko  

Please write your Principle Hapu from the above list in the box provided below:

DECLARATION

I acknowledge that the information supplied will be treated as confidential and is held pursuant to the Privacy Act 1993; and by signing this form I agree that Tuwharetoa Settlement Trust and its related companies, business partners and agents may use this information for the purposes set out in the Privacy Statement (including, but not limited to, maintaining whakapapa records, the Iwi Register, Voters’ rolls, contact databases), contacting members regarding Iwi events and news, and for inclusion in internal and external publications.

I understand that completion of this form does not guarantee admission to the Iwi Register. Confirmation will be sent upon completion of the registration process.

I understand that I must attach one form of Photo Identification, being a NZ Driver’s Licence, NZ Passport or HANZ 18 +. This will be scanned and attached to my personal file.

I hereby declare that to the best of my knowledge;

  • The information I have given is true and complete
  • That I am a member of one of the valid Hapu and Marae included on this form
  • That the whakapapa information I have provided is true and complete
  • I undertake to update my relevant information as and when my circumstances change
  • I have read the privacy statement above
  • I understand that I may request to see my registration information within office hours, Monday to Friday (8.30am – 5.00pm).

Photo Upload

Declaration Acceptance

Tick here to confirm declaration  
Declaration Date
 

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