Ngati Tahu - Ngati Whaoa Iwi Registration Form
General Details
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Mr
Mrs
Ms
Miss
Master
Name
*
First Given Names
Maiden Name
Surname
Gender
*
Male
Female
Date of Birth
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Postal Address (if different from above)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Marae Affiliation: For voting purposes only please select one Marae you would like to exercise a voting right in.
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Ohaki
Te Toke
Mataarae
Waimahana
Whakapapa
Applicant
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2nd Generation (Parent)
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3rd Generation (Grandparent)
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4th Generation (Great Grandparent)
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5th Generation (etc)
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6th Generation (etc)
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Dependants
Aged 17 years and under (dependents over 18 should fill out their own form)
Please provide: Full Legal Name, Date of Birth, Gender of dependants
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Declaration
I declare that the information given in this form is true and correct and that I am of Ngati Tahu-Ngati Whaoa descent in accordance with the provisions of this registration form. For the purposes of the privacy act 1993, I consent to the information provided in this form being included as part of the Iwi Register. I also consent to the disclosure of this form to elected validators and the Ngati Tahu-Ngati Whaoa Kaumatua Kaunihera for the purpose of validating my registration.
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Yes
Submit
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