Poukura
Marae
Ngati Parekaawa
o poukura
Declaration
I hereby delcare that, to the best of my knowledge, the information in this application is true and correct.
I agree that this information may be used for the purpose of developing a Register of Beneficiaries, which is a required Statutory Legislation.
I agree that this personal information will be dealt with in accordance with its obligations under the Privacy Act 1993 and the Privacy Principles therein.
I will update my details should my address or other information given below change in the future.
I understand and agree with the above declaration.
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