Member Registration

Tēnā koe. This form is for adults applying for membership of Mana Ahuriri Trust. Please complete all sections carefully — you will need your whakapapa information ready (parents and grandparents if possible). After submitting, our registration team will be in touch.

Need help? Contact us at registrations@manaahuriri.org or PO Box 12075, Ahuriri, Napier 4144.

Tēnā koe — application received!

Your application has been submitted to the Mana Ahuriri Trust registration team. We will be in touch once your details have been reviewed. Please remember to email your supporting documents to registrations@manaahuriri.org with your full name in the subject line.

Something went wrong

There was an error submitting your form. Please try again or contact us directly at registrations@manaahuriri.org

Personal Details — Ngā Taipitopito Whaiaro

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Title (optional)

First name(s) * Please enter your first name(s)

Surname(s) * Please enter your surname(s)

Other names used (optional)

Gender *

Male Female

Please select a gender

Date of birth * Please enter your date of birth

Contact Details — Whakapā Mai

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Home address — street / road * Please enter your street address

Suburb / City * Please enter your suburb or city

Postcode * Please enter your postcode

Primary phone * Please enter a contact phone number

Secondary phone (optional)

Email address * Please enter a valid email address

Postal address (if different from home address)

Hapū / Marae Affiliations — Ngā Hapū Tokowhitu o Ahuriri

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Which hapū or marae do you whakapapa to? *

Select all that apply

Te Orotu Tawhao Koaupari Whatumamoa Hikawera II Hikateko Tumahuki Te Atawhaki / Te Putanga o Te Rangi Tukapua I Wharerakau / Te Hiku Te Ruruku Ngāti Pārau / Ngāi Tahu Ahi Ngāti Hinepare Ngāti Maahu Ngāi Tawhao Ngāti Matepu Ngāti Tu

Please select at least one hapū or marae

Whakapapa

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Please complete as much as you can. Mother and Father are required. Grandparents and great grandparents help our komiti verify your connection. If you are unsure of any names, leave those fields blank.

Mother's whakapapa — Tōku Māmā

Mother

Mother — full name * Please enter your mother's name

Grandparents (maternal)

Grandmother — full name (optional)

Grandfather — full name (optional)

Great grandparents (maternal)

Great grandparents — names (optional)

Great great grandparents (maternal)

Great great grandparents — names (optional)

Father's whakapapa — Tōku Pāpā

Father

Father — full name * Please enter your father's name

Grandparents (paternal)

Grandmother — full name (optional)

Grandfather — full name (optional)

Great grandparents (paternal)

Great grandparents — names (optional)

Great great grandparents (paternal)

Great great grandparents — names (optional)

Ngā Tamariki — Children

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Tamariki under 18 can be registered here. Tamariki 18 and over must complete their own application.

Do you have tamariki to register? *

No Yes — details below

Please select an option

Child's full name

Date of birth

Gender

Address (if different)

Birth certificates for tamariki must be emailed to registrations@manaahuriri.org with your full name in the subject line.

Documents & Declaration — Ngā Tuhinga

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Important: Supporting documents cannot be uploaded here. Please email them to registrations@manaahuriri.org with your full name in the subject line, or post to PO Box 12075, Ahuriri, Napier 4144. Your application will not be processed until documents are received.

What photo ID will you provide? *

NZ Driver's Licence (photocopy both sides if recent) Passport (any country, must show expiry date) NZ Firearms Licence Birth Certificate (if no photo ID available)

Please select which ID you will provide

Proof of address *

Must be less than 6 months old — power bill, bank statement, IRD letter, NZ Post, phone account

Yes — I will email this Yes — I will post this Not yet — will send shortly

Please select an option

Name change documents (if applicable)

Not applicable Yes — marriage cert or other, will send

I apply for registration as an Adult Member of Mana Ahuriri Trust.
I confirm that all information provided by me in and with this form is true and correct.
I understand that I may be contacted by the Registration Secretary and/or the Komiti to provide more information or clarification, and until I have provided the requested information, my application will not be considered further.
I understand that if I apply close to any election date, my application may not be able to be considered in time for me to vote.
I consent to Mana Ahuriri Trust collecting and retaining my personal information for the purposes of their membership database, including for communications relating to membership and voting.
It is my responsibility to inform the Trust in writing if I change any of my details.
If I have included details of my tamariki, I confirm their names and dates of birth are correct and I have included their birth certificates. Tamariki 18 and over must complete their own application.

Full name — as your signature * Please type your full name as your signature

Date * Please enter today's date

I have read and agree to the declaration above * You must agree to the declaration to submit

By submitting you agree to the declaration above. Required fields are marked *