Te Whatu Ora (DHB) Funded Membership Form
Tēnā koutou!

Please fill in the details below so we can verify your details and confirm you are eligible for DHB funded membership to Ngā Pou Mana.

You must be working for a DHB (Te Whatu Ora) or be in a role that falls under the MECA agreement for allied health, scientific, technical and public health workers.

See the roles attached in the MECA agreement for further details here on page 142-144.
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Email *
What is your full name? *
Email address you would like to use for NPM membership? *
Contact Number? *
What is the name of your organisation? *
What is your role or profession? *
Are you tangata whenua or of Māori descent/whakapapa? *
Required
A copy of your responses will be emailed to the address you provided.
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