Ngati Tumutumu Trust

Home
Events
Documents
Media
Treaty Process
Register
Contact
Private

Register

Personal Details
Salutation
- Mr
- Mrs
- Miss
- Ms
- Dr
Gender*
- Female
- Male
Firstnames*
Surname*
Maiden Name
Also known as
Date of birth*
DD slash MM slash YYYY
Occupation
Spouse / Partner Details
Firstnames
Surname
Maiden Name
Iwi
Gender
- Female
- Male
Date of Birth
DD slash MM slash YYYY
Contact Details
Postal Address
Street Address City State / Province / Region ZIP / Postal Code Country
Home Phone
Work Phone
Mobile Phone
Email Address*
Enter Email Confirm Email
Fax
Whakapapa
Please complete the following whakapapa. Your full name should be given and the names of both parents. You only need to complete your Ngāti Rahiri Tumutumu whakapapa. You will be advised of confirmation of your membership once verified by Ngāti Rahiri Tumutumu kuia/kaumatua
GG Father
GG Mother
GG Father
GG Mother
GG Father
GG Mother
GG Father
GG Mother
Koroua/Paternal Grandfather
Kuia/Paternal Grandmother
Koroua/Paternal Grandfather
Kuia/Paternal Grandmother
Matua/Father
Whaea/Mother (Maiden Name)
YOU*
Additional Information
Children
(Children over 18 should register as an adult member)
Full Legal Name
Date of Birth
Gender
Address (if different to yours)
DD slash MM slash YYYY
DD slash MM slash YYYY
DD slash MM slash YYYY
DD slash MM slash YYYY
DD slash MM slash YYYY
Privacy / Declaration
Declaration and Statement to comply with the provisions of the Privacy Act 1993:
I hereby declare that:
1. I make application to be included on the beneficiary role of Ngati Rahiri Tumutumu.
2. I confirm that I am a blood descendant of Ngāti Rahiri Tumutumu
3. I confirm that the information contained in this registration form and whakapapa is true and correct.
4. I understand that the information I provide to Ngati Rahiri Tumutumu will be kept by the Iwi Roll Manager on its central database and will be used for the purpose of maintaining a register of beneficiaries including the distribution of information in relation to Ngati Rahiri Tumutumu.
5. I understand my information will be treated confidentially, and that no information will be disclosed to a third party without my authorisation except as required by law.
6. I understand I have the right to access and/or correct the information held by Ngati Rahiri Tumutumu.
*
- I agree

© 2024 Ngati Tumutumu Trust