Register

Applicants Personal Details
First Name*
Middle Name*
Surname*
Preferred Name
Birth/Maiden Name
Date of Birth*
DD slash MM slash YYYY
Gender*
Upload your Birth Certificate here*
Drop files here or

Max. file size: 100 MB.
(e.g. Birth certificate ONLY)
Applicants Contact Information
Phone
Mobile*
Email*
Preferred Contact Method
Applicants Address
Address*
Physical Address City Suburb Postcode Country
Do you have a different Postal Address?
Postal Address (if different from above)
Physical Address City Suburb Postcode Country
Shareholder Link
Blood link
Fathers full name
Mothers full name
Which parent do you whakapapa through?
- Father
- Mother
Whakapapa (Shareholder)*
Whanau Trust Name
Name of Whanau Trust you belong to
Whakapapa Upload Documents*
Drop files here or

Max. file size: 100 MB.
(e.g. Birth Certificate or Shareholders Verification)
Other ways you may link
Complete the following if you connect through your Spouse/Partner, Whangai or Adoption, Step parent or Step grandparent
Choose the option that best describes how you link to us?
Spouse/Partner
Name of Spouse
Spouse/Partner Upload Documents
Drop files here or

Max. file size: 100 MB.
(Marriage Certificate or Shareholders Verification)
Whangai (As per Tikanga Maori)
Whangai Upload Documents
Drop files here or

Max. file size: 100 MB.
(e.g. Maori Land Court Order or Shareholders Verification)
Legally adopted
Legally adopted Upload Documents
Drop files here or

Max. file size: 100 MB.
(e.g. Legal Adoption Papers or Shareholders Verification)
Stepchild/Step grandchild
Stepchild/Step grandchild Upload Documents
Drop files here or

Max. file size: 100 MB.
(e.g. Shareholders Verification)
Bank Account
Bank Account Name*
BSB
(Australian Accounts ONLY)
Bank Account Number*
Upload Documents*
Drop files here or

Max. file size: 100 MB.
(e.g. Bank Statement or Bank chit)
Declaration
I declare that all information provided in this application is true and correct to the best of my known knowledge.*
- Agree

NOTE: Please wait for the confirmation message after you Submit your application. You will also receive an email confirming that we have received your submission.

Applicants Personal Details

Applicants Contact Information

Applicants Address

Shareholder Link

Blood link

Other ways you may link

Spouse/Partner

Whangai (As per Tikanga Maori)

Legally adopted

Stepchild/Step grandchild

Bank Account

Declaration