Ngati Kuta & Patukeha Hapu Registration

First name *Please enter each family member separately.

Middle names

Surname *

Wahi Noho (address) *

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Imera (Email) *

Waea (Phone) Optional

Birth date *DD/MM/YYYY - This is required to differentiate family members with the same name.

Tupuna to Rawhiti *

Te NanaWhai HakueneTe KemaraRewhaHuriRewitiIrikoheTitoreKuranuiWharerahiRewaMokaAhitapu

Hapu

Please select which hapu you affiliate withNgati KutaPatu Keha

Surname to Rawhiti Please put the surname/whanau that connects you to Rawhiti today ie Mountain descendent