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I declare, by submitting this form, that the information given in this form is true and correct
and that I am descent of the Affiliate Iwi/Hapu as indicated in accordance with Te Pumataunga o Te Arawa’s Trust Deed.
For the purposes of the Privacy Act 1993, I consent that my personal details provided in this
form may be collated for the purposes of the Beneficiary Register and Te Pumataunga o Te Arawa Trust may disclose to my Affiliate/s
or other Te Arawa Entity that Te Pumataunga o Te Arawa Trust deem I may be a beneficiary.
You are entitled to inspect the information on Te Pumataunga o Te Arawa Trust’s Register relating to yourself and your
dependent children and you can request corrections or removal of your information at any time.