Before You Start

IMPORTANT: You must be 18 years old or over to register.

Our registration form will take between 15-20 minutes to complete. Please make sure you have a reliable internet connection when completing the form as there is no guarantee that your progress will be saved if your connection is interrupted.

As part of the registration process we ask for your whakapapa so that our Whakapapa Kōmiti can validate your connection to Orimupiko Marae. Please ensure that you have this information before you begin your registration.

If you have any questions about the online form, the requirements, or have a general question please contact us at

orimupikoreservetrust@gmail.com.

Ngā mihi.

Privacy

Orimupiko Reserve Trust will act in accordance with the provisions of the Privacy Act 1993, make available to you upon request the personal information it holds about you and will make any appropriate corrections to that information to ensure that the information held is accurate.

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Applicant Details

IMPORTANT: You must be 18 years old or over to register. If you are younger than 18 you may still be able to register but please contact orimupikoreservetrust@gmail.com for more info. Kia ora.

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Contact Details

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Hapū Affliation

Please select one or more from the following list of Taranaki Iwi hapū which you affliate to.

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Your whakapapa - Father's Side

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Your whakapapa - Mother's side

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Tamariki or Legal Dependent

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Declaration

Do you want to receive Private Notices about Orimupiko Reserve Trust matters?*

Tick the box if you wish to receive private notices and information relating to general meetings, elections, whakaminenga and General Trust updates/proposals. All notices will be sent to the email address provided on this form.

YesNo

Declaration & Submit

I hereby declare that the information provided in this application is true and correct. By ticking the box you confirm this declaration.

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