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Registration Form

APPLICANT DETAILS

Fields are mandatory

One of these must be

AFFILIATION

WHAKAPAPA







Iwi/Hapu Marae Referee

DEPENDENT CHILDREN – ŌU TAMARIKI






APPLICANT DECLARATION – WHAKAPUAKITANGA KAITONO

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.