Rehita

Registration Form

Ngai Te Ahi Registration Form

Ngai Te Ahi Rarangi Ingoa
Please enter your details below.
Date of Registration*
Surname*
First Name*
Middle Name
Your date of Birth (DOB)*
Please select your date of birth
Gender
Spouse's Full Name
Your address details
Please fill in all of your contact details so we can keep in touch by sending your mail or emails.
Address 1*
Address 2*
Address 3*
Your contact phone numbers
Home Phone*
Mobile Phone
Work Phone
Fax Number (If applicable)
Email
Ngai Te Ahi Whakapapa
Complete where appropriate
Select your primary whakapapa line*
- Father
- Mother
- Both
Father*
Paternal Grandfather
Paternal Grandmother
Paternal Great Grandfather
Paternal Great Grandmother
Paternal Great Great Grandfather
Paternal Great Great Grandmother
Mother*
Maternal Grandfather
Maternal Grandmother
Maternal Great Grandfather
Maternal Great Grandmother
Maternal Great Great Grandfather
Maternal Great Great Grandmother
Declaration*
I do declare that to the best of my knowledge: • The information I have given is true and complete • That the whakapapa included with this form is true and correct • I undertake to update this information if and when my circumstances change • I have read and consent to the privacy policy (below) for the information I have supplied I acknowledge that the information contained in this form provided by me to Ngai Te Ahi Trust is subject to the Privacy Act 1993; and that by submitting this form I agree that Ngai Te Ahi Trust may use this information to maintain its whakapapa records, tribal register, voting rolls, contact databases and for any other purpose which Ngai Te Ahi Trust considers reasonable, whilst performing its statutory role.
- I Agree
- I Disagree
Privacy*
I do not want my private contact details and identifiable demographic information shared to any party outside of Ngai Te Ahi Trust.
- I Agree
- I Disagree
Comments
This field is for validation purposes and should be left unchanged.

Rehita

Registration Form

Ngai Te Ahi Rarangi Ingoa

Your address details

Your contact phone numbers

Ngai Te Ahi Whakapapa

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