Declaration
I here by declare that the information in the registration details and whakapapa I have provided on this form (both pages) are true and correct to the best of my
knowledge. I understand that the information I provide will be used solely for the purposes of the Maniapoto Maori Trust Board in developing their Register of
Beneficiaries as required Statutory Legislation. The Board will deal with this personal information in accordance with its obligations under the Privacy Act 1993, and
the Privacy Principles stated therein. I will contact the trust board should my address or details change in the future.