Register with us Step 1/4: Page 1 Section 1 Leave this field blank Section1: Personal Information and Contact Details Please select one of the following: Adult - Whakapapa Member Adult - Whangai Member(18 years and older) Surname: First Names: Date of Birth Title Gender Male Female Gender Diverse Maiden Name (if applicable) (optional) Spouse or Partner Name(if applicable) (optional) Home Address Number & Street Name Town / City Region Post Code Tick if your postal address is different (optional) Different Postal Address Postal Address (if different) Please Select one: Physical Address PO Box Number & Street Name PO Box Number Town/City Region Post Code (optional) Phone & Email Details Email Address Phone Mobile Phone Section 2A: Whakapapa – Kāhui Please provide details of the Iwi, Hapū and Marae from Tātau Tātau that you affiliate to. Select your Kāhui, hapū and marae Select Kāhui, hapū, marae: Rongomaiwahine Iwi (optional) Rongomaiwahine Iwi Select your hapū (optional) Ngāi Te Rākatō Ngāti Hikairo Hinewhakāngi (also known as Hinewhata) Ngāti Meke Ngāi Tama (including Ngāti Ruawharo) Ngāi Tārewa Ngāi Tū (including Ngāi Takoto) Select your marae (optional) Tuahuru Ruawharo Te Rākatō Kaiuku Mahanga Apaapa-a-Rangi (Hinewhata) Kaihau (Te Atihau) Te Iwi o Rākaipaaka Select your hapū (optional) Ngāti Rangi Ngāi Te Rehu Ngāi Tamakahu Ngāi Tureia Ngāi Te Kauaha / Ngāti Kauaha Select your marae (optional) Manutai Te Poho o Te Rehu Tāne-nui-a-rangi Kahungunu Tamakahu Te Kotahitanga Ngā Tokorima a Hinemanuhiri Select your hapū (optional) Ngāi Tamaterangi Ngāti Mākoro Ngāti Hingāngā Ngāi Pupuni Ngāti Pareroa Ngāti Poa Ngāi Tamatea Ngāti Hinetū Ngāti Mihi Ngāti Hinetera Select your marae (optional) Pakowhai Rangiahua Hinetera Ramoto Kireara Whetu Marama Arimawha Maromahue Whakakī Nui-A-Rua Select your hapū (optional) Ngā hapū o Whakakī Ngā hapū o Iwitea Ngā hapū o Ngāmotu Ngāti Hine Te Pairu Ngāti Hinepua Ngāi Te Ipu Ngāi Tahu Ngāti Ruapani Ngāti Urewera Ngāti Hinepua Ngāi Tūpaka Ngāi Te Kakari Ngāti Matawhāiti Ngāti Hikawhare Ngāi Te Koara Ngāi Te Rangihauene Ngāti Hineringa Ngāti Pukukaraka Ngāti Pokino Ngāti Hau Ngāti Rua Ngāti Kahina Ngāti Kipamaro Ngāti Kakahi Ngāti Kaituna Ngāti Patutai Ngāti Mātuahanga Ngāi Teki Ngāi Te Ariari Kaahu Te Uri o Te O Ngā Huka o Tai Te Aitanga a Puata Ngāti Mātua Ngāti Koropī Ngāi Tarita Ngāi Te Rangituanui Ngāti Hikatu Select your marae (optional) Whakaki Iwitea Te Rauhina (Kihitu) Te Wairoa Tapokorau Mai Tawhiti Select your hapū (optional) Te Aitanga a Puata Ngāti Kurupakiaka Ngāti Tiakiwai Ngāti Momokore Ngāti Waiaha Ngāi Te Rangituanui Ngāi Taitaui Ngāti Mātangirau Te Uri o Te O Ngāi Tauira Ngāti Matua Ngāti Tahu Ngāti Kahu Ngāti Koropi Select your marae (optional) Te Poho o Te Kawiti Te Poho o Tiakiwai Whaakirangi Taihoa Te Wairoa Tapokorau Whānui Select your hapū (optional) Ngāti Moewhare Ngāi Te Apatu Ngāi Tānemitirangi Iwi Kātea Ngāi Tauira Ngāi Te Kapuamātotoru Ngāti Kuruhiwi Ngāti Ngakautaoweka Ngāti Pukupepepi Ngāti Rāhui Ngāi Tamao Ngāti Tawarangi Ngāi Te Aorangi Select your marae (optional) Takitimu (Waihirere) Ruataniwha Hurumua Tawhiti-a-Maru Te Hononga o Ngā Awa Select your hapū (optional) Ngāti Hingāngā (also known as Te Aitanga a Pourangahua) Ngāti Hinehika (also known as Ngāti Kōhatu) Ngāti Hinemihi Ngāti Hikatu Ngāti Puku Ngāti Peehi Ngāti Hinepehinga The Whaanga whānau The Hinemanuhiri ki Waipaoa whānau Select your marae (optional) Te Reinga Paraeroa Erepeti Hinemihi Putahi Aranui Please provide any further details that may help us identify your whakapapa (optional) Section 2B: Whakapapa – Personal Please provide details of your tipuna who descended from an ancestor of an Iwi and Hapū of Te Rohe o Te Wairoa. If you are not sure, please add as much detail as you think will help to verify your Whakapapa. If you do not provide enough information you may be asked to provide additional information to enable registration to be completed. Mother's side Mother (optional) Grandmother (optional) Grandfather (optional) Do you know the name of your Grandmother's parents? (optional) Please Select One: No Yes Please enter their names below Great Grandmother (optional) Great Grandfather (optional) Father's side Father (optional) Grandmother (optional) Grandfather (optional) Do you know the name of your Grandmother's parents? (optional) Please Select One: No Yes Please enter their names below Great Grandmother (optional) Great Grandfather (optional) Section 3: Children 17 Years and Under Do you have any children under your care who are 17 years or younger? (optional) No Yes How many children do you have under your care? x1 x2 x3 x4 x5 x6 x7 x8 x9 x10 Child 1 Childs Name (optional) Date of Birth (optional) Birth Gender (optional) Male Female Child 2 Childs Name (optional) Date of Birth (optional) Birth Gender (optional) Male Female Child 3 Childs Name (optional) Date of Birth (optional) Birth Gender (optional) Male Female Child 4 Childs Name (optional) Date of Birth (optional) Birth Gender (optional) Male Female Child 5 Childs Name (optional) Date of Birth (optional) Birth Gender (optional) Male Female Child 6 Childs Name (optional) Date of Birth (optional) Birth Gender (optional) Male Female Child 7 Childs Name (optional) Date of Birth (optional) Birth Gender (optional) Male Female Child 8 Childs Name (optional) Date of Birth (optional) Birth Gender (optional) Male Female Child 9 Childs Name (optional) Date of Birth (optional) Birth Gender (optional) Male Female Child 10 Childs Name (optional) Date of Birth (optional) Birth Gender (optional) Male Female By submitting this form, I declare that the information provided is, to the best of my knowledge, true and accurate and I agree that the information provided will be used to maintain a database for voting and contact purposes, and that this database and the information provided as part of this registration will be made available to all Kāhui Beneficial Entities and Marae. The Privacy Act 2020 The information that you supply on this registration form will be held by Tātau Tātau o Te Wairoa Trust. Failure to complete all sections truthfully will render this registration invalid. The information will be held in the Tātau Tātau o Te Wairoa Beneficiary Database and will be subject to rules of access. No information will be disclosed to third parties without your express permission. You have a right to view your personal information held by Tātau Tātau upon request by you. We will make any appropriate corrections to that information to ensure that the data held is accurate. Please sign this document before submitting. Signature Start drawing Clear Done Start over Continue Save draft
