Register

Full Registration entitles you to participate on important kaupapa and to receive Newsletters and Panui.

Please complete all boxes below.

Our Privacy Promise to You: Otamataha Trust promise not to disclose your registration information to any organisation without your consent.

PART ONE: PERSONAL INFORMATION

* Indicates required field

Surname *

First Name *

Middle Name *

Date of Birth (e.g. 03/05/1998) *

Email *

Postal Address *

Line 1 *

City *

Region *

Post Code *

Country *

Physical Address (if different from postal address) *

Line 1 *

City *

Region *

Post Code *

Country *

Phone (Home) *

Phone (Work) *

Mobile Number *

Tick here if you wish to register any children or dependents that are under the age of 18 years. *

Yes

Note: ID Verification is only required for Children & Dependents. Valid forms include a birth certificate or passport.
The form must show the same name as the registered name. Press the button and choose the relevant file from your computer files.

1. Child or Dependants Name *

First

Last

Date of Birth (e.g. 03/05/1998) *

ID Verification for Children/Dependents *

Max file size: 20MB

2. Child or Dependants Name *

First

Last

Date of Birth (e.g. 03/05/1998) *

ID Verification for Children/Dependents *

Max file size: 20MB

3. Child or Dependants Name *

First

Last

Date of Birth (e.g. 03/05/1998) *

ID Verification for Children/Dependents *

Max file size: 20MB

5. Child or Dependants Name *

First

Last

Date of Birth (e.g. 03/05/1998) *

ID Verification for Children/Dependents *

Max file size: 20MB

4. Child or Dependants Name *

First

Last

Date of Birth (e.g. 03/05/1998) *

ID Verification for Children/Dependents *

Max file size: 20MB

5. Child or Dependants Name *

First

Last

Date of Birth (e.g. 03/05/1998) *

ID Verification for Children/Dependents *

Max file size: 20MB

Please add additional Children or Dependants Names and Dates of Birth here: *

PART 2: WHAKAPAPA/GENEALOGY

The purpose of the information requested in this section is to verify actual whakapapa to Otamataha Trust. Beneficiaries must whakapapa to one of these tūpuna - Tahuriwakanui (Ngai Tamarawaho), Tapukino (Ngati Tapu) or Tanumiangarangi (Te Materawaho). Whakapapa will be verified by kaumatua. You will be advised whether or not your application for registration has been accepted. You will have a right of appeal.

Tick here if you are Whangai (adopted by a person of Otamataha descent) *

Yes

Which hapū are you claiming through *

Ngāti Tapu Ngaitamarawaho Te Materawaho

ID Verification for Children/Dependents *

Max file size: 20MB

Which of your parents is of Otamataha whakapapa? *

Parent *

Grandfather *

Great Grandfather *

Great Grandmother *

Grandmother *

Great Grandfather *

Great Grandmother *

PART 3: DECLARATION

The purpose of this section is to remind you of your privacy rights and to gain your consent to the use of your registration information for the stated purposes.

Please enter your full name and date of birth below. By doing so, you agree:

That the information provided in this registration form will be held in the Otamataha Trust Register for lawful use by Otamataha Trust.
That the stated Trust entity may use the data on the Trust register in a way that does not identify you personally, and to communicate with you from time to time regarding newsletters, meetings, surveys and other Trust matters.
That you have the right to access and change your information held on the Trust Register.
That at any time you can advise that you wish to delete your register profile.

Full Name *

Date of Birth (e.g. 03/05/1998) *

Submit