NGAI TAMANUHIRI IWI REGISTRATION Question Title * 1. Title Mr Mrs Miss Ms OK Question Title * 2. First Name: OK Question Title * 3. Middle Name/s: OK Question Title * 4. Last Name: OK Question Title * 5. Gender Male Female Transgender OK Question Title * 6. Date of Birth: (dd/mm/yyyy format): OK Question Title * 7. Contact Information: Postal Address Physical Address City/Town Postal Code Country Email Address Phone Number OK Question Title * 8. Whakapapa: Your Fathers Name Your Mothers Name Your grandparents names on your Fathers side Your grandparents names on your Mothers side Your great grandparents names on your Fathers side Your great grandparents names on your Mothers side OK Question Title * 9. Iwi Information Ngati Kahutia Ngati Rangitauwhiwhia Ngati Rangiwaho Ngati Rangiwaho Matua Ngai Tawehi Other Iwi Affiliations OK Question Title * 10. Declaration:I declare all the information contained on this registration form is true and correct.I consent to the Tamanuhiri Tutu Poroporo Trust sharing my personal information with affiliated parties. Yes No OK DONE