Rāhui Tapu prohibited activity notification form

*- indicates required field.

First Name (optional)

Last Name (optional)

Organisation Name (optional)

Address (optional)

Phone (optional)

Email (optional)

Please identify the activity location on the map (optional)

Location *

Co-ordinates (optional)

Activity Witnessed (optional)

Fishing

Diving

Other

Name of Vessel (if any) (optional)

Vessel Type (optional)

Number of persons on-board (optional)

Upload (any supporting information) (optional)

(PDF, JPG, PNG, XLS, XLSX, Doc or Docx)

Upload

(PDF, JPG, XLS, XLSX, DOC, DOCX or PNG)

Request Type (optional)

Subject Type (optional)

Subject (optional)

Please outline a description of the works being undertaken *