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 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

Please tick the box if you are Whangai



Proof of Identity

~ OR ~

Upload Proof of Identity e.g. Birth Certificate

(2) Whanau Registration Details

All whanau members over the age of 18yrs must fill in a separate registration application form.

(3) Ngati Mutunga O Wharekauri Whakapapa


Whakapapa > Father's Side


Whakapapa > Mother's Side

(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.

(5) Privacy and Declaration

Privacy

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.

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.
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