Registration Form
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Please Select one of these
My Details & Contact Information.
My Whānau Name (Surname)
Your answer
My First Name
Your answer
Whānau Position
Whānau Position (Other)
Your answer
Date of Birth
MM
/
DD
/
YYYY
Gender
1. Iwi / Rohe
Your answer
2. Iwi / Rohe
Your answer
Ethnicity
Ethnicity (Other)
Your answer
Address
Your answer
Region / city
Your answer
Postcode
Your answer
Phone
Your answer
Email:
Your answer
Employment Status
Annual (after tax) Household Income
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