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

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

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

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