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Application for Enrolment on the Waikato- Tainui Tribal Register

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Application for Enrolment on the Waikato- Tainui Tribal Register 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 3240 WAIKATO-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 $75,000 to $100,000 I am legally registered in a civil union 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 Your Un- Self-employed 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 Certificate, BSc, Teachers Certificate) NZ School Certification or National 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) 2. Secondary Qualifications NZ Higher School Certificate or (School Qualification Higher Leaving Certificate or NZ Leavers Only) Bursary / Scholarship National 3.
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