NGĀTI TAMAINUPŌ REGISTRATION FORM
WHAT IS THIS REGISTER FOR?
To help us know who our hapū members are so we can keep in touch.  It's easy - just fill in this form.  If you are under 18 years old, your parent or caregiver will need to do the form for you.  

WHY REGISTER?
- To help us stay in contact with you.
- To be involved in decision making about Hapū business.
- To learn about new Hapū opportunities as they become available.

PRIVACY INFORMATION:
The information collected is confidential and may be used by Ngā Uri o Tamainupō ki Whaingaroa Trust to contact members:
- To seek expert advice or feedback on Hapū matters.
- To ask for assistance with Hapū projects.
- To provide updates about the Hapū, particularly to do with our claim WAI 775.

The information supplied will not be given in part or in full to any private or corporate organisation, including government agencies.  Children younger than 18 years old will need to be registered by their parents or caregivers.
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HAPŪ INFORMATION
IWI:   WAIKATO
WAKA:   TAINUI
What is your Ngāti Tamainupō Marae? *
Select as many as you want
Required
PERSONAL INFORMATION
Title
e.g. Mr, Mrs, Miss, Ms, Dr
First Name *
Last Name *
Middle Name(s)
Preferred Name *
Maiden Name (if applicable)
Your last name BEFORE you married.
Date of Birth *
Day/Month/Year  
Gender *
CONTACT INFORMATION RESIDENTIAL
Where do you live?
Street number and name *
Suburb
Town or City *
Zip or Postal Code
Country *
Home Phone
Mobile Phone
Email *
Write NIL if you don't have an email address.
What is the best way to contact you?
Clear selection
CONTACT INFORMATION POSTAL
What address should we post your mail to?  Only answer if this is DIFFERENT to the address where you live
Street number and name
Suburb
Town or City
Zip or Postal Code
Country
WHAKAPAPA
Four generations of your Family Tree.  Just leave blank if you don't know some names.
My Dad's Side
Who is your Dad?
First and Last Name
Who is your Grandfather (on Dad's side)?
First and Last Name
Who is your Grandmother (on Dad's side)?
First and Last Name
Who are the parents of your Grandfather (on Dad's side)?
First and Last Name
Who are the parents of your Grandmother (on Dad's side)?
First and Last Name
My Mum's Side
Who is your Mum?
First and Last Name
Who is your Grandfather (on Mum's side)?
First and Last Name
Who is your Grandmother (on Mum's side)?
First and Last Name
Who are the parents of your Grandfather (on Mum's side)?
First and Last Name
Who are the parents of your Grandmother (on Mum's side)?
First and Last Name
DECLARATION
I do solemnly swear and sincerely declare that to the best of my knowledge:
- The information I have given is true and complete
- That I am a member of Ngāti Tamainupō and Marae included on this form
- That the whakapapa included in this form is true and correct
- I undertake to update this information if and when my circumstances change

I acknowledge that the information in this form provided by me to Ngā Uri o Tamainupō ki Whaingaroa Trust (the "Trust") is subject to the Privacy Act 1993; and by accepting this statement agree that the Trust and its related companies, business partners and agents may use this information for the purposes set out in the Privacy Statement (including, but not limited to, maintaining whakapapa records, the Hapū register, voting rolls, contact databases).
I Agree and Confirm the declaration above.
Electronic Signature
By typing your name, you Agree and Confirm the declaration above.
Submit
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