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Registration Form
Anei te Rehita
Registration Form
Anei te Rehita
First name
Last name
Maiden name
Email
Mobile
Date of birth
Gender
Male
Female
Address Line 1
Address Line 2
Suburb
Town/City
Country
Postal address (if different from above)
Important: Please note that voting in elections for representatives in Te Kotahitanga o Te Arawa Trust Board will be through your main iwi.
Choose one iwi from the list below
Ngati Makino
Ngati Pikiao
Ngati Rangiteaorere
Ngati Rangitihi
Ngati Rangiwewehi
Ngati Tahu / Ngati Whaoa
Ngati Tarawhai
Te Ure o Uenukukopako / Ngati Whakaue
Tuhourangi
Waitaha
Your father's name
Your paternal grandmother's name
Your great grandmother's name
Your great grandfathers's name
Your paternal grandfather's name
Your great grandmother's name
Your great grandfathers's name
Your mother's name
Your maternal grandmother's name
Your great grandmother's name
Your great grandfathers's name
Your maternal grandfather's name
Your great grandmother's name
Your great grandfathers's name
Child's name 1
Child's address 1
Child's date of birth 1
Child's gender 1
Male
Female
Child's name 2
Child's address 2
Child's date of birth 2
Child's gender 2
Male
Female
Child's name 3
Child's address 3
Child's date of birth 3
Child's gender 3
Male
Female
Child's name 4
Child's address 4
Child's date of birth 4
Child's gender 4
Male
Female
Do you want to receive a private notice and postal votes for annual meeting, ballot meetings, election meetings, or special election meetings?
Yes
No
The information that you provide in this form will be used to create. aTe Arawa Register of Individuals who may participate in (including voting) and benefit from the Te kotahitanga o Te Arawa Waka asset settlement. You have certain rights under the privacy Act 1993, to see and correct personal information that Te Kotahitanga o te Arawa Waka holds on its database. I acknowledge the above and consent to the addition of my details to the Register and the discloseure of my personal information to Te kotahitanga o Te Arawa Waka or any related or succeeding body. I consent to the disclosure of my personal information to other Te Arawa Iwi entities for the purpose of creating a register of individuals who may particiapte in (including voting) and benefit from their settlements.
Yes
No
I am the applicant named in this Registration Form and I declare that the information provided is true and correct.
Yes
No
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Te manu e kai ana i te miro nona te ngahere, ko te manu e kai ana i te matauranga nona te ao.
The bird that consumes the miro berry, owns the forest, the bird that consumes education owns the world.