Registration Form



Personal Details
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Postal Address
Only complete this section if your postal address is different from the address above
Postal Address

Your Iwi
IMPORTANT: Please note that voting in elections for representatives in Te Kotahitanga o Te Arawa Waka will be through your main Iwi. You must select ONE Iwi from the list below.
Which is your main Iwi? *




Your Whakapapa
Please insert below your Te Arawa whakapapa ensuring that you include as much of the whakapapa as you can to your main Iwi selected above. If you do not provide enough information, you may be asked to complete this form again or your registration may be declined.
Your Name
Your Father’s Name
Your Mother’s Name

Father's Whakapapa
Your Paternal Grandfather’s Name
Your Paternal Grandmother’s Name
Your Paternal Grandfather’s Father
Your Paternal Grandfather’s Mother
Your Paternal Grandmother’s Father
Your Paternal Grandmother’s Mother

Mother's Whakapapa
Your Maternal Grandfather’s Name
Your Maternal Grandmother’s Name
Your Maternal Grandfather’s Father
Your Maternal Grandfather’s Mother
Your Maternal Grandmother’s Father
Your Maternal Grandmother’s Mother

Children's Information
(only your children of Te Arawa descent should be added here)
Child Name 1
Child Address 1
Child Gender 1

Child DoB 1
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Child Name 2
Child Address 2
Child Gender 2

Child DoB 2
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Child Name 3
Child Address 3
Child Gender 3

Child DoB 3
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Child Name 4
Child Address 4
Child Gender 4

Child DoB 4
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Child Name 5
Child Address 5
Child Gender 5
Child DoB 5
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Postal Votes
Do you want to receive a private notice and Postal Votes for Annual Meetings, Ballot Meetings, Election Meetings or Special Election Meetings?


Declaration
The information that you provide in this form will be used to create a Te Arawa Register of individuals who may participate in (including voting) and benefit from the Te Kotahitanga o Te Arawa Waka asset settlement. You have certain rights under the Privacy Act 1993, to see and correct personal information that Te Kotahitanga o Te Arawa Waka holds on their database
I acknowledge the above and consent to the addition of my details to the Register and the disclosure of my personal information to Te Kotahitanga o Te Arawa Waka or any related or succeeding body. *
I consent to the disclosure of my personal information to other Te Arawa Iwi settlement entities for the purpose of creating a register of individuals who may participate in (including voting) and benefit from their settlements. *
I Agree *
Date *
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If you have any enquiries please contact us:
Ph: (07) 349 3227
Fax: (07) 347 6876
Email: info@tearawafisheries.maori.nz
Te Arawa Fisheries
Lakesyde Business Centre – Level 1
1204 Whakaue St.
Rotorua
3040
Ph:
+64 7 349 3227
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Fx:
+64 7 348 6876
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