APPLICATION FOR ENROLMENT ON THE WAIKATO-TAINUI TRIBAL REGISTER
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APPLICATION FOR ENROLMENT ON THE WAIKATO-
TAINUI TRIBAL REGISTER
Criteria for enrolment
1. You must be able to affiliate to one of the 33 Hapuu and one of the 68 Marae listed on page 2 of this form through
whakapapa.
2. You must complete all sections of this form and sign it. You must also provide a copy of your Birth Certificate and, if
applicable, a copy of your Marriage Certificate. Incomplete forms will not be accepted.
3. Your application can be validated by a kaumaatua of your nominated Marae/ Hapuu or this part of the process can be
arranged by the Tribal Registrations Staff.
Why should I enrol?
1. It identifies you as a member of Waikato-Tainui.
2. It enables you to vote on tribal matters.
3. It allows you access to funding through a range of grants.
4. It enables the tribe to keep you up-to-date and informed about tribal matters.
Who should enrol?
1. Any person who is affiliated to one of the 33 Hapuu and one of the 68 Marae listed on page 2 of this form (by
whakapapa).
2. Children may be registered.
Once I have enrolled, do I need to do anything else?
1. You should notify us when you change your address and / or if any of your contact details change (e.g. marriage).
2. You should notify us of any additions to your whaanau, so we can send you a form to enrol them.
3. You should notify us when there is a death in the whaanau so we can update our records.
4. We recommend that you consider registering for online access. Once that process is complete, you will be able to
view/update/amend your own details online. Go to our web site www.waikatotainui.com and click on the Tribal
Register link to register.
Return completed Tribal Registration
registration forms to: Waikato-Tainui Te Kauhanganui Inc.
PO Box 648,
Hamilton 3240
INCOMPLETED APPLICATIONS WILL NOT BE ACCEPTED
RETURN THIS COMPLETED FORM TO: Tribal Registration, Waikato-Tainui Te Kauhanganui Inc., PO Box 648, Hamilton 3240WAIKATO-TAINUI HAPUU & MARAE
To enroll, you must be able to whakapapa to one of the 33 Hapuu and one of the 68 Marae listed below.
HAPUU
1 Ngaati Aamaru 9 Ngaati Maahanga 17 Ngaati Puhiawe 25 Ngaati Te Wehi
2 Ngaati Aapakura 10 Ngaati Mahuta 18 Ngaati Raukawa ki 26 Ngaati Tai
3 Ngaati Hauaa 11 Ngaati Makirangi Panehaakua 27 Ngaati Tiipa
4 Ngaati Hikairo 12 Ngaati Naho 19 Ngaati Ruru 28 Ngaati Wairere
5 Ngaati Hine 13 Ngaati Ngutu 20 Ngaati Tahinga 29 Ngaati Werokookoo
6 Ngaati Koheriki 14 Ngaati Paretauaa 21 Ngaati Tamainupo 30 Ngaati Whaawhaakia
7 Ngaati Korokii 15 Ngaati Paretekawa 22 Ngaati Tamaoho 31 Ngaitai
8 Ngaati Kuiaarangi 16 Ngaati Pou 23 Ngaati Taratikitiki 32 Tainui
24 Ngaati Te Ata 33 Te Aakitai
MARAE
1 Aaruka 18 Ngaa Hau e Wha 35 Taahunakaitoto 52 Te Poho o Tanikena (Opuatia)
2 Aotearoa 19 Ngaatira 36 Taniwha 53 Te Puea
3 Hiiona 20 Ngaa Tai E Rua 37 Tauhei 54 Te Taumata (Paaraawera)
4 Horahora 21 Okarea 38 Taupiri 55 Te Tihi o Moerangi (Makomako)
5 Hukanui 22 Oomaero 39 Tauranganui 56 Te Tokanganui a Noho
6 Kahotea 23 Ookapu 40 Te Aakau 57 Tikirahi
7 Kai a te Mata 24 Ooraeroa 41 Te Awamaarahi 58 Tuurangawaewae
8 Kaitumutumu 25 Owairaka 42 Te Hoe O Tainui 59 Umupuia
9 Makaurau (Ihumatao) 26 Poihaakena 43 Te Iti O Hauaa 60 Waahi
10 Maketuu 27 Poohara 44 Te Kaharoa (Aramiro) 61 Waikare
11 Mangatangi 28 Pukerewa 45 Te Kauri 62 Waikaretuu (Weraroa)
12 Mangatoatoa 29 Puukaki 46 Te Koopua 63 Waikeri
13 Matahuru Papakainga 30 Puurekireki 47 Te Kooraha 64 Waimakariri
14 Maungatautari 31 Raakaunui 48 Te Kotahitanga 65 Waingaro
15 Maurea 32 Raungaiti 49 Te Ohaaki 66 Waipapa
16 Mookai Kainga 33 Rereteewhioi 50 Te Papa-o-Rotu 67 Waitii
17 Mootakotako 34 Rukumoana 51 Te Papatapu 68 Whaataapaka
PRIVACY STATEMENT
PRIVACY STATEMENT IN RELATION TO APPLICATION TO BE ENROLLED ON WAIKATO-TAINUI TRIBAL REGISTER
The personal information you supply in this application for registration on the Waikato-Tainui Tribal Register is being collected, and will be held by, Waikato-
Tainui Te Kauhanganui Incorporated, 451 Old Taupiri Road, Ngāruawāhia. Waikato-Tainui Te Kauhanganui Incorporated, its related companies, business
partners and agents (including the Marae named above and any that have joined thereafter) will use the information for the purposes of:
• distribution of settlement proceeds;
• assistance in the administration of tribal matters, including (but not limited to) elections to Te Arataura and Te Kauhanganui ;
• assistance in the governance and administration of the Marae named above and any Marae that have joined thereafter;
• the identification of tribal members entitled to settlement benefits.
Under the Privacy Act 1993, you have the right to request any personal information which Waikato-Tainui Te Kauhanganui Incorporated holds about you. You
may request correction of this information, and if any such correction is not made, request that a statement of any correction requested but not made be
attached to the information.
Additional notes regarding use of information:
1. Applications for registration on the tribal register must be verified by a nominated kaumaatua from the Marae/Hapuu named on the registration
form. This means that Waikato-Tainui Te Kauhanganui Inc. will need to provide the whakapapa details in your application form to the nominated
Kaumaatua for review. Validation can be arranged by Waikato-Tainui Registration Staff.
2. A printout of the persons registered to each of the 68 Marae will be supplied once annually to each Marae Committee. You should advise
Waikato-Tainui in writing if you do not wish your information to be supplied to your nominated marae.
3. The details supplied to each Marae will only be used for the purposes the information was collected. This includes advising Marae members
about Annual General Meetings and other Marae matters. Marae will not use the information for any other purpose or share it with any other
agency, organisation, body or individual, private or Crown.
4. Waikato-Tainui Te Kauhanganui Inc. may use and share (including with third parties) members’ demographic information, in an anonymised
format for any purpose, provided that Waikato-Tainui Te Kauhanganui Inc. will ensure that individuals cannot be identified from such
information.
5. Enquiries regarding registration and information from the register should be made to the Tribal Register, PO Box 648, Hamilton 3240 or by
freephone 0800 824 684 during the hours of 9am to 5pm weekdays. The tribal register is available for inspection at the Tribal Development Unit
Offices, 4 Bryce Street Hamilton, during the hours of 9am to 5pm weekdays. An appointment is necessary. The register may also be available for
inspection at tribal events such as Poukai and Koroneihana.
INCOMPLETED APPLICATIONS WILL NOT BE ACCEPTED
RETURN THIS COMPLETED FORM TO: Tribal Registration, Waikato-Tainui Te Kauhanganui Inc., PO Box 648, Hamilton 3240__________________________
Tribal Registry Number
WAIKATO-TAINUI REGISTRATION APPLICATION
MARAE AND HAPUU INFORMATION
IWI WAIKATO Waka TAINUI
Principle Hapuu Marae (Raupatu)
Note: Only Hapuu and Marae from the list on page 2 are acceptable
PERSONAL INFORMATION
Title Surname
First Name Middle Names
Maiden Name Preferred Name
Gender Tane (M) Wahine (F) Date of Birth / /
CONTACT INFORMATION
Please ensure a valid postal address is supplied including a road number for all RD addressees
Property/St No Flat No
Street Name RD No
Suburb/Locality City/Town/District
Country Postal Code
Phone Number ( ) Other Number ( )
Mobile Number ( ) Email Address
What is your preferred contact method? Postal Address Email Text Phone
DEMOGRAPHIC INFORMATION
Choose the statement that best describes What is the approximate total income for your
your current legal status (Use your most household? (This includes income from all
recent marriage or civil union where sources).
appropriate).
I am Single Less than $15,000
I am divorced or separated Household $15,000 to $35,000
Marital Status I am a widow / widower or surviving Income $35,000 to $55,000
civil union partner
$55,000 to $75,000
I am legally married
I am legally registered in a civil union $75,000 to $100,000
I am in a de facto relationship More than $100,000
I prefer not to answer this question
How many people live at your primary What best describes your current permanent
residence? place of residence?
I am renting or boarding
Household ______ Adults Household
I own my own home
Numbers Ownership
I live in a whaanau owned home
______ Children (aged 18 and under)
Other: (Please specify)
RETURN THIS COMPLETED FORM TO: Tribal Registration, Waikato-Tainui Te Kauhanganui Inc., PO Box 648, Hamilton 3240__________________________
Tribal Registry Number
Unemployed
Full time paid employee
Your Self-employed Your Un- Are you currently seeking paid employment?
Employment employment
Working in a family business without
Status Status Yes
(School
pay (only if un-
Leavers Only) Part time paid employee employed) No
Retired
What is your current occupation? In that job, what tasks or duties do you
spend the most time on, for example;
Running Motel, Servicing and Repairing Cars,
Current Answering Phone Calls
Main Activity
Occupation (School
(School Leavers Only)
Leavers Only)
What is your highest secondary school List the highest trade or academic
qualification? qualifications you have obtained outside of
None secondary school (e.g. Advanced Trade
NZ School Certification or National Certificate, BSc, Teachers Certificate)
Certificate level 1 or NCEA level 1
1.
NZ Sixth From Certification or
National Certification level 2 or NCEA
level 2 or NZ UE (pre 1986)
Qualifications 2.
Secondary NZ Higher School Certificate or (School
Qualification Higher Leaving Certificate or NZ Leavers Only)
Bursary / Scholarship National 3.
Certificate level 3 or NCEA level 3 or
NZ Scholarship
Other secondary school qualification 4.
gained in NZ
Other secondary school qualification
gained overseas
Are you currently attending, studying or What is your religion?
enrolled at school or anywhere else? No religion
Christian (Catholic, Presbyterian etc)
Full-time (20 or more hours) Buddhist
Part-time (less than 20 hours) Hindu
Other Muslim
Current Study
Religion Jewish
Status
Presbyterianism Pai Maarire
Other (Please specify):
Primary area of study (school leavers only)
I prefer not to answer this question
RETURN THIS COMPLETED FORM TO: Tribal Registration, Waikato-Tainui Te Kauhanganui Inc., PO Box 648, Hamilton 3240__________________________
Tribal Registry Number
Do you live with the effects of significant If you answered yes to the previous question,
injury, long term illness or disability? how would you describe your impairment,
disability or long term medical condition?
Disability
Disability Yes
Description
No Manageable
Permanent
How would you best describe your In which other languages could you have a
understanding of Te Reo Maori? conversation about everyday things? (Choose
No understanding all that apply)
Can understand and speak some English
words Samoan
Language: Te Language:
Can understand and speak some New Zealand Sign Language
Reo Maori Other
sentences and phrases Other (please specify):
Can understand and speak with some
confidence
I am fluent in the language None (i.e. Infant)
DECLARATION
I do solemnly and sincerely declare that to the best of my knowledge:
• The information I have given is true and complete
• That I am a member of one of the valid Hapuu and Marae included on this form
• That the whakapapa included with this form is true and correct
• I undertake to update this information if and when my circumstances change
• I have read the privacy statement included in this form
I acknowledge that the information contained in this form provided by me to Waikato-Tainui Te Kauhanganui Inc. is subject to
the Privacy Act 1993; and by signing this form I agree that Waikato-Tainui Kauhanganui Inc. and its related companies,
business partners and agents may use this information for the purposes set out in the Privacy Statement (including, but not
limited to, maintaining whakapapa records, the tribal register, voting rolls, contact databases), contacting members regarding
tribal events and news, and for inclusion in internal and external publications.
I do not want my private contact details and identifiable demographic information shared to any
Privacy
party outside of Waikato-Tainui Te Kauhanganui Inc including my nominated Marae committee.
Mokopuna Please tick this box if you would like to be a Mokopuna Ora Kaitiaki (Whanau Care Giver)
Ora
Signature Date / /
FOR ANY ENQUIRIES FREEPHONE 0800 824 684
OFFICE USE ONLY
Input Date / / Completed By
Kaumaatua or registry staff name I declare that this person has been validated as an
eligible member of a valid Marae and Hapuu by
kaumaatua or whakapapa details already in the
register.
Validated By Signature
RETURN THIS COMPLETED FORM TO: Tribal Registration, Waikato-Tainui Te Kauhanganui Inc., PO Box 648, Hamilton 3240Paternal Great Great Grandfather
Paternal Great Grandfather
Paternal Great Great Grandmother
Paternal Grandfather
Paternal Great Great Grandfather
Paternal Great Grandmother
Paternal Great Great Grandmother
Paternal Great Great Grandfather
Father
Paternal Great Grandfather
Paternal Great Great Grandmother
Paternal Grandmother
Paternal Great Great Grandfather
Paternal Great Grandmother
Paternal Great Great Grandmother
WHAKAPAPA
Maternal Great Great Grandfather
Maternal Great Grandfather
Maternal Great Great Grandmother
Maternal Grandfather
Maternal Great Great Grandfather
FULL NAME of beneficiary on whose behalf the application is made
Maternal Great Grandmother
Maternal Great Great Grandmother
Mother
Maternal Great Great Grandfather
Maternal Great Grandfather
Maternal Great Great Grandmother
Maternal Grandmother
Maternal Great Great Grandfather
Maternal Great Grandmother
RETURN THIS COMPLETED FORM TO: Tribal Registration, Waikato-Tainui Te Kauhanganui Inc., PO Box 648, Hamilton 3240
Maternal Great Great Grandmother
Full name of both parents should be given but any other information necessary only to trace the line of decent back to the original Hapuu stated in this application.
__________________________
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