Hapu Enrolment Form

TE RŪNANGA KO HUIARAU

Do you currently reside in New Zealand?

Specify Country of residence

Pārongo o matawhaiaro / Personal Information

First Name(s)

Maiden Name

Surname

Date of Birth

Age

Gender

First Name(s)

Maiden Name

Surname

Address

Zip / Post Code

City

Country

State / Region

Telephone

Secondary Telephone

Email Address

Occupation

Whakawhanaungatanga / Māori Affiliations

Name of affiliated Sub-tribe

If Ngāti Wikitoria please print supporting Sub-Tribe

Name of affiliated Tribe

If Ngāti Wikitoria please print supporting Tribe

Name of affiliated Canoe

If Ngāti Wikitoria please print supporting Canoe

Name of affiliated Marae

If Ngāti Wikitoria please print supporting Marae

Ngā Ingoa o ou Tamariki / Names of Children under 18 years old - living

Name(s)

Gender

Date of Birth

Name(s)

Gender

Date of Birth

Name(s)

Gender

Date of Birth

Name(s)

Gender

Date of Birth

Name(s)

Gender

Date of Birth

Provide three generations of family lineage

Fathers lineage

Mothers lineage

I declare that the Information given in this registration is true and correct. Pursuant to tikanga or the ancient laws of Ko Huiarau. The information will be used solely for the purpose of hapu electoral registration with Te Rūnanga Ko Huiarau and remains the property of the hapu stated.

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