NGATI HINE HIKA HAPU REGISTRATION FORM

NGATI HINE HIKA HAPU REGISTRATION FORM
The purpose of this form is to identify the descendants of Ngati Kohatu/Ngati Hine Hika and to establish a database of hapu members. The information provided by you in this form enables the Te Reinga Marae Committee to keep you informed and up to date with marae and hapu events and panui.
Ingoa/Name*

First NameLast Name
Maiden Name (if applicable)
Age*
Gender*

TaneWahine
Marital Status

SingleDefactoMarried
Spouse Name (if applicable)
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone*

Area CodePhone Number
Mobile Phone*

Area CodePhone Number
Email *
Occupation
TAMARIKI (17 years or younger)

Please provide the name, age and gender of each of your tamariki

Note: If your tamariki are 18 years or older please have them complete a separate registration form.
Full Name

First NameLast Name
Age
Gender

TamaKotiro
Full Name

First NameLast Name
Age
Gender

TamaKotiro
Full Name

First NameLast Name
Age
Gender

TamaKotiro
Full Name

First NameLast Name
Age
Gender

TamaKotiro
Full Name

First NameLast Name
Age
Gender

TamaKotiro
WHAKAPAPA
Mother's Whakapapa
Mothers Hapu*
Mothers Marae*
Mother*

First NameLast Name
Grandmother*

First NameLast Name
Great Grandmother - Grandmothers Mother*

First NameLast Name
Great Grandfather - Grandmothers Father*

First NameLast Name
Grandfather*

First NameLast Name
Great Grandmother - Grandfathers Mother*

First NameLast Name
Great Grandfather - Grandfathers Father*

First NameLast Name
Father's Whakapapa
Fathers Hapu*
Fathers Marae*
Father*

First NameLast Name
Grandmother*

First NameLast Name
Great Grandmother - Grandmothers Mother*

First NameLast Name
Great Grandfather - Grandmothers Father*

First NameLast Name
Grandfather*

First NameLast Name
Great Grandmother - Grandfathers Mother*

First NameLast Name
Great Grandfather - Grandfathers Father*

First NameLast Name
COMMUNICATION
Would you like to receive marae and hapu panui?*

YesNo
Would you like your details added to the hapu contact list?*

YesNo
Note: Contact details on the hapu contact list include name, phone number and email address only. The hapu contact list is distributed to registered hapu members only.
Disclaimer: The information provided by you in this form is for the use of Te Reinga Marae Committee and Trustees only. We will never provide your information to a third party without the your knowledge and agreement.
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