Iwi Registration 2022 – Ngāpuhi Rūnanga Group

To start your Ngāpuhi registration journey, please enter your personal details below.

Personal Details

Member IDFor office use only

Prefix

First Name *

Middle Name

Last Name *

Alias or Nickname

Maiden Name

Date of Birth *

Place of birth

Gender

Spouse Name:

Spouse Iwi:

Whāngai

Please tick if you are whāngai

Email Address *

Landline

Mobile Number

Preferred Phone Number *Please provide the best phone number for us to contact you on.

Home Address

City

Postal Code

Country

Postal Address (if different from home address)

City

Postal Code

Country

Region

Mailing List (*)I DO want to join the mailing listI DO NOT want to join the mailing list* Joining the mailing list gives us permission to send you our email newsletter 'E-Mara' and relevant information. We will not share your details with any other agencies or marketing platforms.

Occupation

Occupation Category / Field

Name of Qualification

TAITAMARIKI DETAILS

If any of your children are over 18 please have them complete a separate registration form.

First Name

Middle Name

Last Name

Date of Birth

GenderMaleFemaleOther

First Name

Middle Name

Last Name

Date of Birth

GenderMaleFemaleOther

First Name

Middle Name

Last Name

Date of Birth

GenderMaleFemaleOther

First Name

Middle Name

Last Name

Date of Birth

GenderMaleFemaleOther

Please add name(s), birthdate(s) and gender for any other tamariki.

NGĀPUHI WHAKAPAPA

We acknowledge the sensitivity in sharing whakapapa, we do however need to verify your Ngāpuhi descent. Please provide as much whakapapa as you have so we can verify your connection to Ngāpuhi. If you need assistance, contact us on 09 401 5530 or 0800 NGAPUHI (0800 642784) or Email: [email protected]

PATERNAL WHAKAPAPA

Whakapapa on your father's side (or Whāngai details). Please provide as much paternal whakapapa as you have.

Your father

Paternal Grandfather

Paternal Great Grandfather

Paternal Great Grandmother

Paternal Grandmother

Paternal Great Grandfather

Paternal Great Grandmother

MATERNAL WHAKAPAPA

Whakapapa on your mother's side (or Whāngai details). Please provide as much maternal whakapapa as you have.

Your mother

Maternal Grandfather

Maternal Great Grandfather

Maternal Great Grandmother

Maternal Grandmother

Maternal Great Grandfather

Maternal Great Grandmother

Additional Whakapapa Information

NGĀPUHI AFFILIATIONS

This section is compulsory. If you do not have this information, contact our Registrations team on 09 401 5530 or 0800 NGĀPUHI (0800 642 784) or email [email protected] in order to complete your application

Primary Marae, Primary Hapū, Associated Takiwā *

OTHER AFFILIATION DETAILS

Please choose one primary Takiwā (for voting purposes) Please note that any vote cast by you for election of Trust Board Trustees will be counted only for the Primary Takiwā you have identified.

PRIVACY NOTICE

General Privacy Notice

I DO wish to receive information relating to general meetings and postal ballot papers so that you may vote on elections, constitutional amendments, conversion or disposal of settlement quota. Being on the Ngāpuhi tribal register is very important because it is our main contact link with you and gives you a direct say in decisions that affect you and your whanau.Please untick the box if you DO NOT wish to receive information

Contact Details Privacy Notice

Tick the box if you DO NOT AGREE for your contact details to be forwarded to your Takiwā for you to stay informed.Please note that any vote cast by you for election of trustees will be counted only for the primary Takiwā you have identified.

Declaration

I hereby declare that the information in this application is true and correct to the best of my knowledge. I understand that the information I provide will be used solely for the purpose of Te Rūnanga-Ā-Iwi-Ō-Ngāpuhi Trust Board in developing the register of beneficiaries, a required statutory legislation. The board will deal with this personal information in accordance with its obligations under the Privacy Act 1993 and the Privacy Principles stated therein. I will contact the Trust Board should my address or details change in the future.

Date *

NGĀPUHI IWI REGISTRATION

RĒHITA-Ā-IWI