Ngati Kuri Registration form | Te Runanga o Kaikoura INC

First & Last Name *

Maiden Name

Email address *

Message *

Address *

Occupation *

Kaumatua Names & Numbers (if known/list all that apply)

DECLARATION
I do solemnly and sincerely declare:

• That I was born on the date stated

•That I am Ngāi Tahu in terms of the “Te Rūnanga o Ngāi Tahu Act 1996”
•That I can trace proven genealogical descent to Marukaitātea or; genealogical descent from at least one of the original 1848 Kaikōura Kaumātua recognised by Te Rūnanga O Kaikōura.
•That the Whakapapa form below is indicating my genealogical descent from Marukaitatea or at least one of the original 1848 Kaikōura Kaumātua recognised by Te Rūnanga o Kaikōura, is true and correct.

I acknowledge that the information contained in this form provided by me to Te Rūnanga o Kaikōura is subject to the Privacy Act 1993; and that by submitting this form, I agree that Te Rūnanga O Kaikōura may use this information to maintain its whakapapa records, Rūnanga register, contact databases and any other purpose which Te Rūnanga O Kaikōura considers reasonable, whilst performing its statutory role

Fathers Name *

Mothers - Maiden name *

Grandfarthers name (Fathers Side) *

Grandmothers Name (Fathers Side) *

Grandmothers Name (Mothers Side) *

Grandfarthers Name (Mothers Side) *

Great Grandmothers Name (Fathers Side) *

Great Grandfathers Name (Fathers Side) *

Great Great Grandfarthers Name (Mothers Side) *

Great Great Grandmothers Name (Fathers Side) *

Ngāti Kuri online registration form