application for enrolment on the ngāti ranginui tribal ... · ka kitea ka kitea ka kitea ranginui...
TRANSCRIPT
Why register?Full registration identifies you as a member of Ngāti Ranginui, enables you to vote on tribal matters and enables Ngā Hapū o Ngāti Ranginui Settlement Trust (the Ngāti Ranginui Settlement Trust) to keep you up-to-date and informed about important matters.
Privacy StatementThe personal information you supply in this application, for enrolment on the Ngāti Ranginui Tribal Register, is being collected and will be held by Ngāti Ranginui Settlement Trust or its successor in accordance with New Zealand laws. The information will be available to and used for the purposes of Ngāti Ranginui Settlement Trust and its related subsidiaries or agents (including the Hapū post-settlement governance entities that have elected to utilise the Ngāti Ranginui Tribal Register to assist in the administration of the Hapū PSGE), or their successors.
PART ONE: PERSONAL INFORMATION
This section must be completed. You must also provide evidence of your date of birth (e.g. copy of your Birth Certificate, Passport or Driver Licence). Incomplete applications will not be accepted.
SURNAME
FIRST NAME
MIDDLE NAME/S
DATE OF BIRTH e.g. (dd/mm/yyyy) / / GENDER Female (F) Male (M)
POSTAL ADDRESS
LINE 1 (e.g. 77 Ranginui St or PO Box 11001)
SUBURB TOWN / CITY
DISTRICT / STATE POSTCODE
COUNTRY
If/where applicable this section should be completed.
RESIDENTIAL ADDRESS (If different to Postal Address noted above)
LINE 1 (e.g. 77 Ranginui St)
SUBURB TOWN / CITY
DISTRICT / STATE POSTCODE
COUNTRY
LANDLINE PHONE No. (Area Code – Ph. No.) MOBILE NO.
OCCUPATION
HIGHEST LEVEL OF EDUCATION
Application for enrolment on the Ngāti Ranginui Tribal Register
ngatiranginui.org.nz
PART TWO: HAPŪ AFFILIATION and WHAKAPAPA
The purpose of the information required in this section is to verify the applicant’s eligibility. To be eligible for inclusion in the Ngāti Ranginui Tribal Register you must be able to whakapapa by birth, or legal adoption, or Māori customary adoption in accordance with Ngā Hapū o Ngāti Ranginui tikanga (customary values and practices) to one or more of the following hapū: Ngāi Tamarāwaho; Ngāi Te Ahi; Ngāti Hangarau; Ngāti Ruahine; Ngāti Taka; Ngāti Te Wai; Pirirākau; or Wairoa hapū (comprising of Ngāti Kahu, Ngāti Pango and Ngāti Rangi). You must enter your whakapapa details proving your affiliation to one or more of these hapū. Whakapapa to other iwi/hapū is optional. You are welcome to record additional whakapapa details (e.g. Great-great-grandparents information) on a separate page and attach it to your application.
Great-grandfather
Name
Hapū
Applicant Name
Great-grandmother
Name
Hapū
Great-grandfather
Name
Hapū
Great-grandmother
Name
Hapū
Grandfather
Name
Hapū
Grandmother
Name
Hapū
Father
Name
Hapū
Great-grandfather
Name
Hapū
Great-grandmother
Name
Hapū
Great-grandfather
Name
Hapū
Great-grandmother
Name
Hapū
Grandfather
Name
Hapū
Grandmother
Name
Hapū
Mother
Name
Hapū
Ngāti Ranginui Hapū affiliation and Whakapapa will be verified by a nominated, Whakapapa specialist, from each of the hapū that the applicant claims to affiliate. You will be advised whether or not your application has been accepted. Unsuccessful applicants may seek to have their application reconsidered provided that such application is made on the basis of new evidence (i.e. evidence that was not submitted or considered as part of the initial or any previous application).
Office use only: HAPŪ AFFILIATION ELIGIBILITY VERIFICATION
Hapū Accepted DeclinedWhakapapa Specialist Date
Name Signature
Ngāi Tamarāwaho
Ngāi Te Ahi
Ngāti Hangarau
Ngāti Ruahine
Ngāti Taka
Ngāti Te Wai
Pirirākau
Wairoahapū
Ngāti Kahu
Ngāti Pango
Ngāti Rangi
PART THREE: CHILDREN OR DEPENDENTS WHO ARE UNDER THE AGE OF 18 YEARS
Complete this section if you are 18years or older and wish to register any of your children or dependents that are under the age of 18years.
FIRST NAME MIDDLE NAME/S SURNAME DATE OF BIRTH (dd/mm/yyyy) FEMALE/MALE Office use only
Membership No.
PART FOUR: DECLARATION
• I note that incomplete applications will not be accepted.
• I confirm that, to the best of my knowledge, the information stated in this application is true and correct.
• I attach a copy of my: Birth Certificate; or Passport; or Driver Licence; verifying my date of birth.
• I agree to update my relevant information as and when my circumstances change and note that I can request to delete my register profile at any time.
• I accept that my information will be available to and used for the purposes of Ngāti Ranginui Settlement Trust and its related subsidiaries or agents (including the Hapū post-settlement governance entities that have elected to utilise the Ngāti Ranginui Tribal Register to assist in the administration of the Hapū PSGE), or their successors.
PRINT FULL NAME
SIGNATURE DATE / /
Online: ngatiranginui.org.nzEmail: [email protected]: PO Box 2230, Tauranga 3140, New Zealand
Completed Applications can be submitted to:
I te ngaro i te ngaro a Ranginui e
Ka kitea ka kitea ka kitea
I te ngaro i te ngaro a Ranginui e
Ka kitea ka kitea ka kitea
Ranginui e ngunguru nei
Au au aue ha
Ranginui e ngunguru nei
Au au aue ha
OFFICE USE ONLY
Application received and checked for completeness
Date (dd/mm/yyyy) By (PRINT FULL NAME) Signature
Copy of: Birth Certificate, or Passport, or Driver Licence (specify above) attached Appl. Complete (Yes/No)
Comments
Applicant advised of the outcome Date (dd/mm/yyyy) By (PRINT FULL NAME) Signature
Membership No.