Iwi Registration-Ngāti Tara Tokanui T

Iwi Registration

Personal Details

First Name

Middle Name

Last Name

Maiden Name

Alias

Birthdate

Occupation

Contact Details

Address

Phone Number

Spouse Name (optional)

Partner's Iwi (optional)

Whakapapa

Please fill in as much information that you have knowledge of. This information is to establish whakapapa connections to the iwi of Ngāti Tara Tokanui.

Please fill in the following fields for your father.

Fathers Name

Father's Father

Father's Mother

Fathers Grandfather (Father's side)

Fathers Grandmother (Father's side)

Fathers Grandfather (Mother's side)

Father's Grandmother (Mother's side)

Please fill in the following fields for your mother.

Mother's Name

Mother's Father

Mother's Mother

Mothers Grandfather (Father's Side)

Mothers Grandmother (Father's side)

Mother's Grandfather (Father's side)

Mother's Grandfather (Mother's side)

Mother's Grandmother (Mother's side)

Please fill in the following fiels for your children. If you have more children that you would like to add to the form, please add them to the additional information box.

Child 1 Name

Child 1 Date of Birth

Child 2 Name

Child 2 Date of Birth

Child 3 Name

Child 3 Date of Birth

Child 4 Name

Child 4 Date of Birth

Child 5 Name

Child 5 Date of Birth

Additional Information

Privacy Statement

Declaration and Statement to comply with the provisions of the Privacy Act 1993:I hereby declare that:

I am a blood descendant of Ngāti Tara-Tokanui
All of the information contained in the registration form and whakapapa is true and correct.
I understand the information I provide will be held by Ngati Tara Tokanui and used in relation to Ngati Tara Tokanui mahi
I understand that Ngati Tara Tokanui will keep all my personal information confidential to Ngati Tara Tokanui
I have the right to access and correct my information.

I agree to the terms & conditions