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Whānau Tū Whānau Ora Registration
@Ngā Mataapuna Oranga - 10 June 2021
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Personal Details
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Full Name
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Please check the spelling of your name as it will be copied onto your training certificate
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Organisation Name
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Position
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What is your position or title
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Age Group
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What age group do you belong to
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18 - 30
31 - 40
41 - 50
51+
Ethnicity
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What is your ethnicity
Māori
New Zealand European
Pacific Islander
Asian
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Other:
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Iwi
If you know your iwi please enter it here
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Hapū
If you know your hapu please enter it here
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Contact Details
Email Address
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Phone Number
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Your work phone number
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