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| NGATI AUKIWA OFFICIAL RECOGNITION FORM |
| TE TARI WHAKAHUIHUI INGA NGA URI WHAKATUPU O NGATI AUKIWA KO PUHI O TE WAKA TE WHARE TUPUNA KO WAIMAHANA TE PAPAKAINGA KO AKAU TE MOANA An individual recognition form is needed for every descendant over 18yrs |
| Descendant Contact Details: Home Phone:...................................Mobile:( )............................... Postal Address:.................................................................................. E mail address(es):...................................Website?.................................. |
First Name(s):............................................................................................ Surname Name(s):...................................................................................... Maiden Name: (Nee)................................................D.O.B........................... Marital Status*(please circle): Partner / Single. Occupation:......................................... Interests:.......................................... Whakapapa (Connection to Ngati Aukiwa/ Waimahana please include maiden names ladies): GGGrandparents:GGGF.......................................GGGM................................... GreatGrandparents:GGF................../...................GGM......................./.............. Grandparents: GGF.................................GGM................................................... Parents:Father.....................................Mother..................................................... Tamariki under 18yrs: Tane/Wahine D.O.B Tahi................................... T / W ........................ Rua................................... T / W ........................ Toru.................................. T / W ........................ Whaa................................ T / W ........................ Rima................................ T / W ......................... Ono.................................. T / W ........................ Whitu................................ T / W ........................ Sport(s) you and your whanau enjoy or play............................................. |
| I declare true and correct the information contained in/on this document. With your privacy of paramount priority, this information will be solely for registration/ recognition to and voting for Ngati Aukiwa Hapu, Waimahana Bay. Thank You and welcome. Signed:.................................................................Date:.............................. (Descendant) Signed:.................................................................Date:.............................. (Kaumatua/ Kuia) |
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