Beneficiaries

Registration Form 2024

Applicant Details

Please fill out this accurately, and read through the terms and conditions before submitting.

Street Address

Address Line 1

Address Line 2

City

Region

Zip Code

Country

Postal Address (if different to physical address)

Address Line 1

Address Line 2

City

Region

Zip Code

Country

Phone Number

Occupation

Mobile Number

Children

Add your tamariki's details below

Full Name

Date of Birth

Gender

Male

Female

Whāngai

Yes

Full Name

Date of Birth

Gender

Male

Female

Whāngai

Yes

Full Name

Date of Birth

Gender

Male

Female

Whāngai

Yes

Additional Children

Please include all information of additional children as per the information required above.

Additional Children:

Whakapapa

Please complete the side of your Whakapapa that links to Ngāti Whare. If linked on both sides, please complete both sections of your family tree.

Note: It is only necessary to trace the line of descent back to your tipuna of Ngāti Whare.

Matua Whakapapa (Father’s Family Tree)

Your Father (Full Name)

Father's Father (Full Name)

Father's Mother (Full Name)

Grandfather's Father (Full Name)

Grandfather's Mother (Full Name)

Grandmother's Father (Full Name)

Grandmother's Mother (Full Name)

Whaea Whakapapa (Mother’s Family Tree)

Your Mother (full name)

Mother’s Father (full name)

Mother’s Mother (full name)

Grandfather’s Father (full name)

Grandfather’s Mother (full name)

Grandmother’s Father (full name):

Grandmother’s Mother (full name)

Ngati Whare – Tipuna

Search through our database using the dropdown below.

Declaration

Please read carefully before submitting form

I hereby declare that the information in this registration form is true and correct including my Whakapapa indicating that I am of Ngāti Whare descent.

Please tick the box if you would like to receive information and voting papers relevant matters and decisions regarding elections, fisheries, constitutional amendments, and the conversion or disposal of settlement quota.

Email option: Please tick the box if you would like to receive pānui by email rather than post.

Beneficiaries

Beneficiaries

Register as a Beneficiary

Applicant Details

Children

Additional Children

Whakapapa

Ngati Whare – Tipuna

Declaration

Address

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