Tribal Registration Form
Tribal Registration Form
Ko Te Arawa te Waka Ko Ngongotaha te Maunga Ko Parawai te Awa Ko Te Arawa te Iwi Ko Ngati Tura, Ngati Te Ngakau te Hapu
Purpose of this Information form The Ngti Tura, Ngti Te Ngkau Hap trust (hereafter referred to as the Hap Trust) was, on the 26th of November 2006, mandated to represent and to negotiate any settlements on behalf of the Ngti Tura, Ngti Te Ngkau Hap. The Hap trust has established a register of people who affiliate to Ngti Tura, Ngti Te Ngkau Hap and we encourage all descendants to register on this form. The register referred to is called the Ngti Tura, Ngti Te Ngkau Beneficiaries Register and is held by the Secretary of the Hap Trust. Registration allows YOU: To identify yourself as a Hap member To access education and charitable purposes grants that may be offered in the future To have a say. Hap members, 18 years and over can vote on Hap matters To stand for election to the Hap Trust Registration allows US: To improve communications to Ngti Tura, Ngti Te Ngkau whnau whnui
It is important that you register all whnau members, including every dependent child. Young adults aged 18 years and over should complete their own registration form. Should you have any queries please contact us: Ngti Tura, Ngti Te Ngkau Hapu Trust PO BOX 190, NGONGOTAHA ROTORUA 3010 Email: [email protected] turatengakau.wikispaces.com
E NROLMENT FORM BENEFICIARIES REGISTER - page 2 Please complete this form in full and return to; The Secretary Ngti Tura, Ngti Te Ngkau Hap Trust PO BOX 190, Ngongotaha ROTORUA 3010 WHANGA 1 - Personal information and contact details Surname: First names: Title: Mr/Mrs/Miss/Ms (Please circle) Sex: Male/Female (Please circle)
Maiden name: (if applicable) Home address: Date of Birth: Postal address: (if different from home address) Phone numbers: Work: Home:
Mobile phone:
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M/F
ENROLMENT FORM BENEFICIARIES REGISTER - page 3 Please indicate your Tupuna/Tpuna who is/are of Ngti Tura, Ngti Te Ngkau descent only. Please give as much information as you can, going as far back as possible. If you do not provide enough information you may be asked to complete this form again OR you may not be able to register with us.
Great Grandfather
Grandfather
Father
Great Grandmother
Great Grandfather
Grandmother
Great Grandmother
Your Name
Great Grandfather
Grandfather
Great Grandmother
Mother
Great Grandfather
Grandmother
Great Grandmother
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ENROLMENT FORM BENEFICIARIES REGISTER - page 4 WHANGA 4 - Your rights and declaration Any information received will be held by the Hap Trust, their successor and any related body*. You do have the right under the Privacy Act 1993 to view and correct personal information that the Hap Trust holds about you. Should you have any queries please contact the Secretary. I declare that the information given in this form is correct and that I am of Ngti Tura, Ngti Te Ngkau descent. For the purposes of the Privacy Act 1993, I consent to the above information and details being included as part of the Register and to be used at the discretion of the Hap Trust. If you wish your information to remain confidential, indicate by ticking here ( ). I acknowledge the above and consent to the addition of my details to the Register Signed: Date: /./... Office use only: ENDORSEMENT BY A KAUMTUA OF NGTI TURA, NGTI TE NGKAU HAP As kaumatua of the Ngti Tura, Ngti Te Ngkau Hap I confirm that the above named is a member of this Hap and of our Marae and therefore endorse the inclusion on to the Ngti Tura, Ngti Te Ngkau Beneficiary Register. Name: Signature: Date:/../.
* Te Pumautanga o Te Arawa Waka is considered a related body of the Ngati Tura Ngati Te Ngakau Hapu Trust.
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