Mokai Patea Tribal Register

Full Registration Form

Full Registration entitles you to vote on important kaupapa including the election of trustees, to access tribal scholarships and to receive Newsletters and Paanui about important Mokai Patea kaupapa.

Please complete all boxes below.

Our Privacy Promise to You: Mokai Patea and promise not to disclose your registration information to any organisation without your consent.

0% Complete (Part 1 of 5)

PART 1: PERSONAL INFORMATION

Surname  
Firstname  
Middle name
Date of Birth  
Email
Password  
Must be 6-50 characters long
Postal Address
Country
Post Code
Physical Address
Country
Phone (Home)
Phone (Work)
Mobile
Tick here if you wish to register any children or dependents

   

Existing Registration

The following individual with the same first name, last name and date of birth is already registered. Please contact the Tribal Register Administrator for the registration details.