Te Waiariki Ngāti Korora Ngāti Takapari Hapū Iwi Trust Registration

Hapū Registration Form

Te Waiariki Ngāti Korora Ngāti Taka Hapū Iwi Trust
Full Name*

First NameMiddle NameLast Name
Other names you are known by:
Date of Birth*

DayMonthYear
Birthdate
Gender*

MaleFemalePrefer not to say
E-mail*
example@example.com
Phone Number*
Address*

Street Address

Street Address Line 2

CityPost Code

Country

Whakapapa

Please tell us how you connect to Te Waiariki, Ngāti Korora, Ngāti Takapari*

	First Name	Last Name	Hapū
Mother
Father
Grandmother
Grandfather
Great Grandmother
Great Grandfather

Your Children (under 18 only, anyone aged 18+ needs to submit their own registration)

	First Name	Last Name	Date of Birth (dd/mm/yyyy)
Eldest Child
#2
#3
#4
#5
#6
#7
#8
#9
#10

Add any notes in here

By submitting this form I acknowledge that the Trust may contact me in relation to the information provided on this form. We may use this information for the purposes of maintaining the Trust register and database*

Yes
I acknowledge that the information provided on these forms is subject to the Privacy Act 2020*

Yes
I would like to be added to the database to receive updates and communications in the future*

Yes
Should be Empty: