Iwi Register Application

*=required field

Step 1: Your Details

Your Name*
MrMrsMissMs

Contact/Personal Details
* *
* *
*
*

Where is your permanent residence?

Date of birth: *

Step 2: Your Whakapapa

Please fill in your Ngāti Kuri Whakapapa details. If you don't know some of these details please still fill in the field with 'don't know' or something similar.

* *

* *

* *

* *

* *

Who is your primary Ngāti Kuri ancestor?
*

Yes, I was adopted into a Ngāti Kuri family

Children's Details
Note: Children 18 years and over are required to complete their own application form.

1) MaleFemale
2) MaleFemale
3) MaleFemale
4) MaleFemale
5) MaleFemale

Please enter the details of any further children in the comments section below, using the same one per line format.

Step 3: Declarations, Privacy and ID

Declaration*
Yes, I confirm that:

• I am a direct descendant of the tupuna of Ngāti Kurí iwi.

• That the above information I have provided is true and correct.
• I acknowledge that the information provided by me is subject to the Privacy Act 1993; and that I agree that the Ngāti Kurí Trust Board may use this information to maintain its whakapapa records, tribal register, voting rolls and contact database.

Please note that the information you have provided will be confirmed by kaumatua/kuia of Ngāti Kurí.

Private Notice Option*
I wish to receive private and other notices by post and/or email relating to general meetings and postal voting papers so that you may vote on elections, amendments to the Trust Deed, rules and Constitution, and the conversion or disposal of settlement quota, as well as general Ngāti Kuri news and events.

A scanned copy of your identification must be attached to this application* - full birth certificate, passport or drivers licence - in JPG, PDF, PNG or DOC format. Please do not send the original.

Comments/Questions