Ngāti Rehua Ngātiwai ki Aotea Trust

MEMBERSHIP REGISTRATION FORM

1. YOUR PERSONAL DETAILS
Your Name*
First Name Family Name
Your Maiden Name (if applicable)
Your Gender
- Male
- Female
Postal Address
Street Address Suburb City State / Province / Region ZIP / Postal Code Country
Date Of Birth*
DD slash MM slash YYYY
Relationship status
- Single
- Married
- De Facto
- Civil Union
Phone Number
Mobile Number
Your Email
Your Preferred Contact Method
- Phone
- Email
- Postal
- None
2. TUPUNA
To be eligible to register with the Ngāti Rehua Ngātiwai ki Aotea Trust, you must be able to whakapapa or tatai to the founding tupuna by virtue of being descended from one or more of the following:
a. Ranginui, the son of Hikihiki: and/or
b. Rehua, the son of Mataahu and Te Kura: and/or
c. Te Awe, son of Te Whaiti.
Tupuna
Please select your Tupuna (if known):
- Ranginui
- Rehua
- Te Awe
3. YOUR SPOUSE/PARTNER'S DETAILS
Name
First name Family name
Maiden name (if applicable)
Gender
- Male
- Female
Date of birth
DD slash MM slash YYYY
Iwi (if applicable)
4. YOUR WHAKAPAPA
To be eligible to register with the Ngāti Rehua Ngātiwai ki Aotea Trust, you must be able to whakapapa or tatai to the founding tupuna by virtue of being descended from one or more of the following:
a. Ranginui, the son of Hikihiki: and/or
b. Rehua, the son of Mataahu and Te Kura: and/or
c. Te Awe, son of Te Whaiti.
The Combined Kaumatua Validation Committee will make a decision to either accept your registration, ask you for more information or decline your application. Please complete the relevant whakapapa that validates your link to Ngāti Rehua Ngātiwai ki Aotea Trust.
Please note that additional fields will become available as you start filling out your whakapapa
My Father's family
Start entering your whakapapa to see more generations
My Father
My Grandfather is
My Grandmother is
My Great Grandparents
My Grandfather's Father is
My Grandfather's Mother is
My Grandmother's Father is
My Grandmother's Mother is
My Great Great Grandparents
My Grandfather's Paternal Grandfather is
My Grandfather's Paternal Grandmother is
My Grandfather's Maternal Grandfather is
My Grandfather's Maternal Grandmother is
My Grandmother's Paternal Grandfather is
My Grandmother's Paternal Grandmother is
My Grandmother's Maternal Grandfather is
My Grandmother's Maternal Grandmother is
My Mother's family
Start entering your whakapapa to see more generations
My Mother
My Grandfather is
My Grandmother is
My Great Grandparents
My Grandfather's Father is
My Grandfather's Mother is
My Grandmother's Father is
My Grandmother's Mother is
My Great Great Grandparents
My Grandfather's Paternal Grandfather is
My Grandfather's Paternal Grandmother is
My Grandfather's Maternal Grandfather is
My Grandfather's Maternal Grandmother is
My Grandmother's Paternal Grandfather is
My Grandmother's Paternal Grandmother is
My Grandmother's Maternal Grandfather is
My Grandmother's Maternal Grandmother is
5. YOUR CHILDREN/DEPENDANTS (under the age of 18 years)
Number of children/dependents
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
First dependent
Name
First names Surname
Date of birth
DD slash MM slash YYYY
Gender
- Male
- Female
Relationship to me
Second dependent
Name
First names Surname
Date of birth
DD slash MM slash YYYY
Gender
- Male
- Female
Relationship to me
Third dependent
Name
First names Surname
Date of birth
DD slash MM slash YYYY
Gender
- Male
- Female
Relationship to me
Fourth dependent
Name
First names Surname
Date of birth
DD slash MM slash YYYY
Gender
- Male
- Female
Relationship to me
Fifth dependent
Name
First names Surname
Date of birth
DD slash MM slash YYYY
Gender
- Male
- Female
Relationship to me
Sixth dependent
Name
First names Surname
Date of birth
DD slash MM slash YYYY
Gender
- Male
- Female
Relationship to me
Seventh dependent
Name
First names Surname
Date of birth
DD slash MM slash YYYY
Gender
- Male
- Female
Relationship to me
Eighth dependent
Name
First names Surname
Date of birth
DD slash MM slash YYYY
Gender
- Male
- Female
Relationship to me
Ninth dependent
Name
First names Surname
Date of birth
DD slash MM slash YYYY
Gender
- Male
- Female
Relationship to me
NOTES
Please add any notes or additional dependents that you would like submitted with your registration
Additional info
6. IDENTIFICATION REQUIREMENTS
Please provide official identification such as a birth certificate, a passport, a driver’s licence, or any other acceptable form that reflect Name, Surname and Date of Birth.
ID
Accepted file types: jpg, gif, png, pdf, tiff, Max. file size: 256 MB.
7. PRIVACY ACT
In accordance with the provisions of the Privacy Act 1993, any information received herein, will be held by Ngāti Rehua Ngātiwai ki Aotea Trust or their respective successors, and will not be made available to any other parties without your consent. As a registered charity, it will be required to retain documents, including the application forms and ID for 7 years.
8. DECLARATION
I do solemnly declare that to the best of my knowledge and belief, that the information that I have provided about me is true.
Signature*
Hidden
5. DECLARATION*
In accordance with the provisions of the Privacy Act 1993, I consent that any information received herein will be held by Ngati Rehua Ngatiwai ki Aotea Trust or their respective successors, and will not be made available to any other parties without your consent.
- YES - I give my consent
- NO - I do not give my consent
Phone
This field is for validation purposes and should be left unchanged.

1. YOUR PERSONAL DETAILS

2. TUPUNA

3. YOUR SPOUSE/PARTNER'S DETAILS

4. YOUR WHAKAPAPA

My Father's family

My Mother's family

5. YOUR CHILDREN/DEPENDANTS (under the age of 18 years)

First dependent

Second dependent

Third dependent

Fourth dependent

Fifth dependent

Sixth dependent

Seventh dependent

Eighth dependent

Ninth dependent

NOTES

6. IDENTIFICATION REQUIREMENTS

7. PRIVACY ACT

8. DECLARATION

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