Iwi Registration

Your Details
Your Whakapapa
Spouse and Tamariki
Marae Affiliations

The Privacy Act

This information is to be used for a Ngati Toa register of beneficiaries. It will be held by Te Runanga O Toa Rangatira Inc for the purpose of assisting the Runanga in advancing the interests of Ngati Toa.

This will include enhancing communication with Iwi members and enabling more effective Iwi participation in decision-making for Ngati Toa. The information gathered will be held in accordance with the Privacy Act requirements and will not be used for any other purpose without your express consent. You have the right to access and correct this information at any time. Any person aged 18 years or above should complete their own form.

General Information

First Name

Last Name

Ngāti Toa Tupuna

Place Of Birth

Date Of Birth

Gender

Contact Details

Address Line 1

Address Line 2

Town/City

Post Code

Country

Email Address

Phone (Day)

Phone (After Hours)

Fax

Your Whakapapa - Father's Side

Father's Name

Grandfather

Great Grandfather

Great Grandmother

Great Grandfather's Father

Great Grandfather's Mother

Great Grandmother's Father

Great Grandmother's Mother

Grandmother

Great Grandfather

Great Grandmother

Great Grandfather's Father

Great Grandfather's Mother

Great Grandmother's Father

Great Grandmother's Mother

Your Whakapapa - Mother's Side

Mother's Name

Grandfather

Great Grandfather

Great Grandmother

Great Grandfather's Father

Great Grandfather's Mother

Great Grandmother's Father

Great Grandmother's Mother

Grandmother

Great Grandfather

Great Grandmother

Great Grandfather's Father

Great Grandfather's Mother

Great Grandmother's Father

Great Grandmother's Mother

Spouse Details

First Name

Last Name

Place of Birth

Date of Birth

Gender

Tamariki or Legal Dependents (under 18 years)

Children over 18 years are required to complete their own registration form.

Marae Affiliations

Select a Marae you will be affiliated to for the marae voted Runanga Board seats - even if you will not be voting on any marae seats because you live overseas, etc.

Marae Affiliations

Select Marae/s

NB: Hold down CTRL to select multiple.

Voting Only

Select Marae (one only)

Please verify you are a human

This helps protect our system from spam.

The Privacy Act

Declaration

DeclarationI declare that all information on this form is true and correct.

Today's DateThursday 25 Jan 2018