Ngati Kuta & Patukeha Hapu Registration About YouFirst name *Please enter each family member separately.Middle names Surname *Wahi Noho (address) *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountryImera (Email) *Waea (Phone) OptionalBirth date *DD/MM/YYYY - This is required to differentiate family members with the same name.Tupuna to Rawhiti *Te NanaWhai HakueneTe KemaraRewhaHuriRewitiIrikoheTitoreKuranuiWharerahiRewaMokaAhitapuHapu Please select which hapu you affiliate withNgati KutaPatu KehaSurname to Rawhiti Please put the surname/whanau that connects you to Rawhiti today ie Mountain descendent About Your ChildrenPlease enter in your children's names and birthdays. Birthdays are important for uniquely identifying individuals in our register. If you have more than 6 children, please submit the form again for additional children.First name (Child 1) Middle name(s) (Child 1) Surname (Child 1) Birthday (Child 1) DD/MM/YYYYFirst name (Child 2) Middle name (Child 2) Surname (Child 2) Birthday (Child 2) DD/MM/YYYYWaitohu (Signature) *Please enter your full name here. This should be the same person who's name is at the beginning of the form.Te Ra (Date) *DD/MM/YYYY - Please put today's date VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank: Leave a Reply Cancel reply Your email address will not be published. Required fields are marked *Comment Name * Email * Website CAPTCHA Code *
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