Iwi Registration "*" indicates required fields Personal InformationLast name*First name*Middle namesPrevious last nameIf your last name was legally changed for what ever reason, please enter here, e.g. previous name before marriage, civil union, adoption, whāngai, deed poll, etc.Principal Ngāti Hinerangi Marae*Te Ōhākī MaraeHinerangi Tāwhaki MaraeTangata MaraeTamapango MaraeNgāti Hinerangi Hapū*Ngāti TokotokoNgāti TangataNgāti Te RihaNgāti WhakamaungārangiNgāti KuraNgāti TamapangoNgāti TāwhakiNgāti RangiHome Address* Street Address Town/suburb City Region Postcode Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Date of Birth* Day Month Year Sex*MaleFemaleOtherPhone (home)Phone (work)Phone (mobile)Email*Whakapapa informationWhakapapa - parent/guardianPlease name your parent (biological or whāngai) who can whakapapa to Ngāti Hinerangi iwi.Whakapapa - grandparentPlease name your grandparent who can whakapapa to Ngāti Hinerangi iwi.Whakapapa - great grandparentPlease name your great-grandparent who can whakapapa to Ngāti Hinerangi iwi.PermissionsApplicant confirmationI am submitting this form on behalf ofMyselfA dependant under 18 years of ageSomeone with a disability or impairmentRelationshipIf submitting this form on behalf of someone other than yourself, please state your relationship with the applicant.OFFICE USE ONLY - ValidationTPH validation committee authorisation name, date and signature: Declaration* I acknowledge and consent to the data on this form being used for the purposes of Te Puāwaitanga o Ngāti Hinerangi Iwi Trust.PhoneThis field is for validation purposes and should be left unchanged.
