Online Registration

Ngāti Ranginui Membership Registration APPLICATION FORM

STATEMENT

Ngāti Ranginui Iwi:

Society Incorporated is a charitable entity mandated to represent Ngāti Ranginui members on all Iwi matters except Fisheries and Raupatu Settlement Assets and processes. Since establishment in 1990, the Society has also been involved in the delivery of a variety of Health & Social Services activities.
Fisheries Trust is the governance entity mandated to manage the Iwi’s Fisheries Settlement Assets on behalf of Ngāti Ranginui members pursuant to the Maori Fisheries Act 2004. The Trust was established in 2007.

The Society and Trust have elected to share the responsibility of developing and maintaining a Register of people who affiliate to Ngāti Ranginui.

Descendants of Ngāti Ranginui are invited to apply to register as a member using this Form. It is important to register all whanau members, including every dependent child. A separate application Form must be completed for each person. Parents can register their children however persons 18yrs or older must complete and sign their own Form. Registration will enable you to participate in key strategic matters as well as benefit from membership entitlements.

A Registration Committee, comprising of Ngāti Ranginui Kaumatua and whakapapa experts, will be established. This Committee shall be responsible for validating registration eligibility, in particular applicant’s Hapu/Marae affiliation and whakapapa to Ngāti Ranginui.

PERSONAL DETAILS

Surname *

Maiden Surname (If applicable) *

First Name/s *

Residential Address *

Line 1

Line 2

City

State

Zip Code

Country

Postal Address (if different from above) *

Line 1

Line 2

City

State

Zip Code

Country

Telephone/s Landline *

Telephone/s Mobile *

Facsimile *

Email *

Gender (tick where appropriate) *

Female Male

Date of Birth (E.g. 01/02/1980) *

Please indicate below any Hapu/Marae of Ngāti Ranginui that you affiliate with (Note: there may be more than one)

Hapu *

Marae *

Hapu *

Marae *

Hapu *

Marae *

Hapu *

Marae *

Hapu *

Marae *

WHAKAPAPA

Father *

Grandfather *

Great-Grandfather *

Great-Grandmother *

Grandmother *

Great-Grandfather *

Great-Grandmother *

Mother *

Grandfather *

Great-Grandfather *

Great-Grandmother *

Grandmother *

Great-Grandfather *

Great-Grandmother *

PRIVATE NOTICES & PRIVACY

Please tick the box if you would like to receive private notice advising you of: general meetings; elections (including postal ballots); proposed changes to associated constitution or trust deed documents; or disposal of assets obtained as a result of a Treaty Settlement (e.g. Fisheries Settlement Assets). *

Yes

Pursuant to the Privacy Act the information recorded on this Form may be included in Ngāti Ranginui Iwi’s Membership Register. Information retained on the Register may be used at the discretion of the Fisheries Trust or Society Incorporated, or any successor to these Ngāti Ranginui Iwi entities. Such purpose may include identification of Ngāti Ranginui members to derive any membership entitlement of entities mandated to manage Ngāti Ranginui Iwi matters, in particular:

- Ngāti Ranginui Fisheries Trust; or
- Ngāti Ranginui Iwi Society Incorporated;

DECLARATION

I declare that the information given in this Form is true and correct and that I am of Ngāti Ranginui descent. I understand that:

The information that I have provided in this Form may be included in Ngāti Ranginui Iwi’s Membership Register and used at the discretion of the Fisheries Trust or Society Incorporated, or any successor to these Ngāti Ranginui Iwi entities for such purposes as these entities consider pertinent to Ngāti Ranginui Iwi members.
I have the right to access and correct the information held on Ngāti Ranginui Iwi’s Membership Register.
I am responsible for communicating any change to my personal details (e.g. change of address).

Signed *

Date (DD/MM/YYYY) *

Submit