If you are whāngai please tick
Date of Birth
City / Town
Address (Postal if different from above)
City / Town
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 Mother's Whakapapa
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?
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?
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
Drop a file here or click to upload
Maximum upload size: 3MB
Accepted file types - .jpg, .jpeg, .png, .pdf
Important: Should you not be able to upload Proof of Identity, please email it separately to email@example.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.
Please click the submit button to complete your online application form:
If you are human, leave this field blank.