Retita Kai Tauturu 
Food Bank Registration Form
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Toou Ingoa /  Full Name *
Numero tereponi / Phone Number *
Imēre / Email
To’ou ngāi No’oanga / Home Address *
Street Address
Mataiti Anau’anga / Date of Birth *
MM
/
DD
/
YYYY
Numero ki te WINZ/I.D ( WINZ Client Number/ I.D - Drivers License, passport, 18+ (if applicable) *
Numero tangata i to’ou ngutuare / No. of people in your household
Numero tamariki tamaine/tamaroa, e tō ratou mata’iti / No. of children (include gender and age) *
E turanga akatakakē’anga āinei to’ou/teta’i uatu ki te ngutuare? / Are you or anyone at home in isolation?
Are you vegetarian/Vegan/Halal?
Te tumu i anoano ei koe i teia tauturu? / What is the main reason for your application?
Ka inangaro āinei koe i tetai tauturu kē atu? / Would you like to be referred for anything else?
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This form was created inside of Society of St Vincent de Paul - Auckland.