Ngati Mutunga Registration Form

If you or your whanau are of Ngati Mutunga o Wharekauri descent then register here ONLINE today. It's that simple!

or, download a printable registration form to complete and return to us.
NMOW Registration Form (43 KB)

If you need any assistance, please call 0800 WHAREKAURI (0800 942735), or go to the Contact Us page for our Postal address, Fax, & Email details.

You can find the Tipuna list here

Privacy Statement

Ngati Mutunga O Wharekauri Iwi Trust will in accordance with the provisions of the Privacy Act 1993, make available to you, upon request the personal information it holds about you and will make any appropriate corrections to that information to ensure that the information held is correct and secure. No other information on this application will be disclosed to third parties without your authorisation, except as required by law.

Ngati Mutunga o Wharekauri Iwi Trust is required, under the Maori Fisheries Act 2004, to make the full register of adult beneficiaries available for scrutiny to other registered beneficiaries. Accordingly, a copy of the adult register of beneficiaries is held for beneficiary scrutiny at the registered office of the the Ngati Mutunga o Wharekauri Iwi Trust office. No whakapapa details are included in the adult beneficiary register available for scrutiny.

I acknowledge my application may be put through a validation process that may include verification with Ngati Mutunga o Wharekauri Kaumatua. To assist in this process I nominate the following person as Ngati Mutunga o Wharekauri Kaumatua who may also assist in verifying my whakapapa.

(1) Applicant Details

Whangai Please tick the box if you are Whangai

Title

First Name *

Last Name *

Home Address *

Suburb *

City *

Postcode *

Maiden Name

Date of Birth *

Email Address *

Home Phone Number*

Home Fax Number

Number of children (incl. 18yr) if you have none enter please enter "0"
Occupation
Name of spouse

Proof of Identity
NZ Drivers Licence Passport Other	~ OR ~	Upload Proof of Identity e.g. Birth Certificate
Identification Number	~ OR ~	Attach File (100Mb Limit)
Passport Country Identification Type (if other)

All whanau members over the age of 18yrs must fill in a separate registration application form.
[Whanau 1] First Name	[Whanau 1] Last Name	[Whanau 1] Date of Birth
[Whanau 1] Relationship

+ add more

[Whanau 2] First Name	[Whanau 2] Last Name	[Whanau 2] Date of Birth
[Whanau 2] Relationship

+ add more - remove

[Whanau 3] First Name	[Whanau 3] Last Name	[Whanau 3] Date of Birth
[Whanau 3] Relationship

+ add more - remove

[Whanau 4] First Name	[Whanau 4] Last Name	[Whanau 4] Date of Birth
[Whanau 4] Relationship

+ add more - remove

[Whanau 5] First Name	[Whanau 5] Last Name	[Whanau 5] Date of Birth
[Whanau 5] Relationship

+ add more - remove

[Whanau 6] First Name	[Whanau 6] Last Name	[Whanau 6] Date of Birth
[Whanau 6] Relationship

+ add more - remove

[Whanau 7] First Name	[Whanau 7] Last Name	[Whanau 7] Date of Birth
[Whanau 7] Relationship

+ add more - remove

[Whanau 8] First Name	[Whanau 8] Last Name	[Whanau 8] Date of Birth
[Whanau 8] Relationship

+ add more - remove

[Whanau 9] First Name	[Whanau 9] Last Name	[Whanau 9] Date of Birth
[Whanau 9] Relationship

+ add more - remove

[Whanau 10] First Name	[Whanau 10] Last Name	[Whanau 10] Date of Birth
[Whanau 10] Relationship

- remove

(3) Ngati Mutunga O Wharekauri Whakapapa

Primary Marae

Your Hapu

Tupuna o Wharekauri

Whakapapa > Father's Side

Father Grandfather [a] Great Grandfather [a1] Great Great Grandfather [a1] Great Great Grandmother [a1] Great Grandmother [a2] Great Great Grandfather [a2] Great Great Grandmother [a2] Grandmother [b] Great Grandfather [b1] Great Great Grandfather [b1] Great Great Grandmother [b1] Great Grandmother [b2] Great Great Grandfather [b2] Great Great Grandmother [b2]

Whakapapa > Mother's Side

Mother Grandfather [a] Great Grandfather [a1] Great Great Grandfather [a1] Great Great Grandmother [a1] Great Grandmother [a2] Great Great Grandfather [a2] Great Great Grandmother [a2] Grandmother [b] Great Grandfather [b1] Great Great Grandfather [b1] Great Great Grandmother [b1] Great Grandmother [b2] Great Great Grandfather [b2] Great Great Grandmother [b2]

(4) Private Notice Option

Tick the box if you wish to receive private notices relating to general meetings and postal ballot papers so that you may vote on elections constitutional amendments conversion or disposal of settlement quota and disposal of income shares. The notice will be sent to the address provided on this form.

Privacy

Declaration

BY SUBMITTING THIS FORM I HEREBY DECLARE THAT THE INFORMATION IN THIS APPLICATION IS TRUE AND CORRECT AND FOR THE PURPOSE OF IDENTITY AND AGE, A COPY OF MY BIRTH CERTIFICATE/DRIVERS LICENSE/PASSPORT/OTHER FORM OF IDENTITY IS ATTACHED.

	I have read and agree with the terms above.
	Enter Word Verification in box:

Ngati Mutunga Registration Form

If you or your whanau are of Ngati Mutunga o Wharekauri descent then register here ONLINE today. It's that simple!

or, download a printable registration form to complete and return to us.
NMOW Registration Form (43 KB)

If you need any assistance, please call 0800 WHAREKAURI (0800 942735), or go to the Contact Us page for our Postal address, Fax, & Email details.

You can find the Tipuna list here

Privacy Statement

(1) Applicant Details

Proof of Identity

~ OR ~

(2) Whanau Registration Details

(3) Ngati Mutunga O Wharekauri Whakapapa

Whakapapa > Father's Side

Whakapapa > Mother's Side

(4) Private Notice Option

(5) Privacy and Declaration

Privacy

Declaration

Ngati Mutunga Registration Form

If you or your whanau are of Ngati Mutunga o Wharekauri descent then register here ONLINE today. It's that simple!

or, download a printable registration form to complete and return to us. NMOW Registration Form (43 KB)

If you need any assistance, please call 0800 WHAREKAURI (0800 942735), or go to the Contact Us page for our Postal address, Fax, & Email details.

You can find the Tipuna list here

Privacy Statement

(1) Applicant Details

Proof of Identity

~ OR ~

(2) Whanau Registration Details

(3) Ngati Mutunga O Wharekauri Whakapapa

Whakapapa > Father's Side

Whakapapa > Mother's Side

(4) Private Notice Option

(5) Privacy and Declaration

Privacy

Declaration

or, download a printable registration form to complete and return to us.
NMOW Registration Form (43 KB)