Online Registration Form

This online registration form will take about 10-15 minutes to complete so please make sure you have a stable internet connection before you begin. Also we require a form of photo identification to confirm your age and identity, so please make sure you have a copy of your drivers licence, or photo page of your passport, or your 18+ card, and all your whakapapa details ready. This will help you complete your form quicker. Accepted file formats for photo ID are .jpeg, .png, .pdf, .docx
Ngā mihi.

Please note: Unfortunately predictive text does not work on this form. Kia ora.

Registration Form

First Name *

Last Name *

Maiden Name

If you are whāngai please tick

Yes

Date of Birth *

Gender *

Occupation

Address (Residential) *

City / Town *

Postcode *

Address (Postal if different from above)

City / Town

Postcode

Contact Phone

Contact Email *

Whakapapa Details

Please enter your Ngāti Tama Whakapapa - either your father's line or your mother's line needs to be filled..

Your Father's Whakapapa

Your Father

Paternal Grandfather

Your father's father

Paternal Great Grandfather

Your father's father's father

Paternal Great Grandmother

Your father's father's mother

Paternal Great Great Grandfather

Your father's father's father's father

Paternal Great Great Grandmother

Your father's father's father's mother

Paternal Great Great Grandfather

Your father's father's mother's father

Paternal Great Great Grandmother

Your father's father's mother's mother

Paternal Grandmother

Your father's mother

Paternal Great Grandfather

Your father's mother's father

Paternal Great Grandmother

Your father's mother's mother

Paternal Great Great Grandfather

Your father's mother's father's father

Paternal Great Great Grandmother

Your father's mother's father's mother

Paternal Great Great Grandfather

Your father's mother's mother's father

Paternal Great Great Grandmother

Your father's mother's mother's mother

Your Mother's Whakapapa

Your Mother

Maternal Grandfather

Your mother's father

Maternal Great Grandfather

Your mother's father's father

Maternal Great Grandmother

Your mother's father's mother

Maternal Great Great Grandfather

Your mother's father's father's father

Maternal Great Great Grandmother

Your mother's father's father's mother

Maternal Great Great Grandfather

Your mother's father's mother's father

Maternal Great Great Grandmother

Your mother's father's mother's mother

Maternal Grandmother

Your mother's mother

Maternal Great Grandfather

Your mother's mother's father

Maternal Great Grandmother

Your mother's mother's mother

Maternal Great Great Grandfather

Your mother's mother's father's father

Maternal Great Great Grandmother

Your mother's mother's father's mother

Maternal Great Great Grandfather

Your mother's mother's mother's father

Maternal Great Great Grandmother

Your mother's mother's mother's mother

Please contact us if you wish to include more whakapapa in your application.

Registration of Tamariki

Tamariki who are under the age of 18 years can be registered with us by their parent(s) or legal guardian(s). If you would like to register your tamariki with us please tick the box below.

Would you like to register your tamariki with us?

Yes

Child 1 Full Name

Child 1 Date of Birth

Child 1 Gender

Child 2 Full Name

Child 2 Date of Birth

Child 2 Gender

Child 3 Full Name

Child 3 Date of Birth

Child 3 Gender

Child 4 Full Name

Child 4 Date of Birth

Child 4 Gender

Child 5 Full Name

Child 5 Date of Birth

Child 5 Gender

If you would like to register more tamariki please contact the office.

Important: If you are 18 years or older you must submit your own application form and this will entitle you to participate in the voting and decision making.
If you are under 18 years of age, your parent(s) or guardians can register you on their application form – voting rights only apply to those members 18 years or older.

Confirmation & Declaration

Please list any other iwi that you whakapapa to:

Do you wish to receive private notices (to the address and/or email address provided on this application form) advising you of general meetings and postal ballots for elections, changes to the constitution and the disposal or sale of fisheries settlement assets? *

Yes (Address)

Yes (email)

Declaration & Proof of Age and Identity

Proof of your age and identity is required so please upload a copy of your drivers licence, the photo page of your passport, or your 18+ card.

Upload your Proof of Age & Identity *

Maximum file size: 2.1MB

Accepted file types - .jpg, .jpeg, .png, .pdf Important: Should you not be able to upload Proof of Identity, please email it separately to ngatitamataranaki100@gmail.com. Note proof of identity is a legal requirement for your registration.

The Privacy Act 1993, Authority & Declaration
The Information that you supply on this application form will be held by Te Rūnanga o Ngāti Tama. Failure to complete all sections truthfully will render this application invalid, and, should you have been successful in your registration, may be grounds for removal from the Register and Electoral Roll. This information will be held in Te Rūnanga o Ngāti Tama and under their rules of access.

No information will be disclosed to third parties without your authorization, except as required by law. Information on unsuccessful applicants will be confidentially destroyed after 12 months, unless a date is specified by you. You have a right to view your personal information held by Te Rūnanga o Ngāti Tama. This will occur in the presence of a Rūnanga nominated representative and you may request correction if necessary.

Authority & Declaration
I hereby declare that I have read the above Privacy Act statement and I am aware of my rights under the Privacy Act 1993. I certify that the information provided is correct and no information has been omitted. I also acknowledge that it is my responsibility to advise Te Rūnanga o Ngāti Tama when my contact details change.

By ticking "Yes" I hereby declare that the information I have given to be true and correct. The information supplied is confidential within the terms of the Privacy Act 1993 and for the lawful use by the Te Runanga o Ngati Tama. An Adult Registered Member may view their personal details held on the Members’ Register and the registration details of any child or dependents under 18 years of age whom they have registered. *

Yes

Please click the submit button to complete your online application form:

If you are human, leave this field blank.

Online Registration Form

Whakapapa Details

Your Father's Whakapapa

Your Mother's Whakapapa

Registration of Tamariki

Confirmation & Declaration

Declaration & Proof of Age and Identity

Quick links

Address