Ngāti Pūkenga Iwi Application for Registration

You must fill out all of the fields that apply to you. If unknown, please specify “unknown”.


Freepost Authority 232243
Te Au Maaro o Ngati Pukenga
PO Box 13610
TAURANGA 3141
Freephone 0800 89 52 12

Your details

First name:
Postal address:
Home phone:
Last name:
Date of birth:
Work phone:
Maiden name if applicable:
Age:
Email:
Gender:   

Your Ngāti Pūkenga Whakapapa

If you are having trouble completing the Whakapapa section
please contact us on 0800-89-52-12 and we will assist you.


If you show kainga, please indicate which kainga: Tauranga, Maketu, Manaia or Pakikaikutu.

  
  
  
  
  
  

Children

Please only list your children under 18 years. Those 18 years and over must fill in their own form.

First name Last name Male Female DOB Address

By pressing the SUBMIT button you are confirming that you have read and agree with the Privacy Statement and Declaration below.


Privacy Statement

  1. Ngāti Pukenga Iwi ki Tauranga Trust collects this information in accordance with the Privacy Act 1993 on behalf of the Ngati Pukenga Iwi ki Tauranga Trust, the mandated fisheries entity, and Te Au Maaro o Ngāti Pukenga, the mandated entity negotiating settlement of Ngāti Pukenga’s historical claims.
  2. All information will be used at the discretion of Ngati Pukenga Iwi ki Tauranga Trust.
  3. Ngati Pukenga iwi ki Tauranga Trust will make available to you upon request the personal information it holds about you and will make any appropriate corrections to that information to ensure that information held is accurate.

Declaration

  1. I acknowledge that in submitting this form I declare that the information I have provided is true and correct; and
  2. I consent to the use of this information by the Ngati Pukenga Iwi ki Tauranga Trust and Te Au Maaro o Ngāti Pukenga or any related or succeeding body in order to maintain a tribal register for the purposes of any Act, for contact databases and any other purpose which the Ngati Pukenga Iwi ki Tauranga Trust and Te Au Maaro o Ngāti Pukenga or any related or succeeding body considers reasonable.