OPTION 1: ONLINE REGISTRATION

Section A: Personal Details of Applicant

* Indicates required field

Name *

First

Last

Maiden or Previous Name if applicable. *

Date of Birth (DAY/MONTH/YEAR e.g., 20/7/1969) *

Gender *

Are you a whangai? *

Are you legally adopted? *

Address (e.g., 4 Jetson Street, Kaiti, Gisborne, 4010, New Zealand.) *

Mobile or Contact Phone Number *

Email *

Occupation *

Facebook Name (if applicable) *

Section B: Children of Applicant

For each Child please list: First Name, Last Name, Date of Birth and Gender *

Section C: Marae and Hapu Affiliations

Other Te Aitanga a Mahaki Marae Affiliations *

Other Te Aitanga a Mahaki Hapu Affiliations *

Section D: Te Aitanga a Mahaki Claims that relate to me

One or more can be accepted *

Te Aitanga A Mahaki - WAI 274, 283, 957 Te Whanau A Wi Pere - WAI 323, 895 Wi Haronga/Ngati Matepu - WAI 995 Ngariki - WAI 507, 499, 874 Te Whanau A Kai - WAI 892 Terekia/Tamatea Whanau - WAI 2380

Section E: Te Aitanga a Mahaki Entities

Fill out this section if you are a beneficiary or shareholder of the following entities

Te Aitanga a Mahaki Trust Iwi Identification Number *

Mangatu Blocks Incorporated Shareholder Number *

Wi Pere Trust Number *

Section F: Te Aitanga a Mahaki Whakapapa

Fill in as much of this section you can. We can follow up with assistance once we receive your form. Alternatively email our team on mahakitrust at gmail.com if you need help.

List your Parents, Grand Parents and Great Grand Parents *

Privacy Statement and Declaration

Private Notice Option (for Fisheries Settlement purposes) *

I wish to receive any notices relating to general meetings and postal ballots so that I may vote on any elections, constitutional amendments, conversion or disposal of settlement quota.

Application to Register or Update My Details *

Yes, I apply to register with Te Aitanga a Mahaki Trust No, I do not want to be registered as a member of Te Aitanga a Mahaki Trust

Declaration *

I am of Te Aitanga A Mahaki. I have provided my whakapapa detailing my tribal affiliations to Te Aitanga A Mahaki. I understand that Te Aitanga A Mahaki Trust, as the mandated entity charged with negotiating settlement of Te Aitanga A Mahaki's historical claims will collect this information in accordance with the Privacy Act 1993. I consent to my personal details being held by the Te Aitanga A Mahaki Trust for the comprehensive settlement of all historical Treaty claims (including those specifically of my claimant group as indicated on my registration form). I consent to the use of this information by Te Aitanga A Mahaki Trust or any related or succeeding body solely for ongoing communication and ratification purposes of a Deed of Settlement or settlement through the Waitangi Tribunal. I declare all the information contained on this Registration Form to be true and correct.

Submit Your Application to Register Form

Update your Details or Register here