(*) = required field

General Information

• Gender (*)

  
  Male
  
  Female
  
  

• First Name (*)

• Middle Name (optional)

• Last Name (*)

• Name Suffix for example Jr., II, III, Sr. (optional)

• My Name on my Birth Certificate (*)

  
  Exactly as above
  
  Is Different
  
  
  

First Name (as appears on birth certificate) (*)

Middle Name (as appears on birth certificate) (*)

Last Name (as appears on birth certificate) (*)

• Date of Birth (MM/DD/YYYY) (*)

• Place of Birth (City, State) (*)

• Ancestral home(s) (Place, island) (optional)

Contact Information

• Mailing address & number/apartment (*)

• City (*)

• State / Province / Region (*)

• Zipcode / Postal Code (*)

• Country (*)

• Email Address (an email or phone required)

• Daytime Area code and Telephone Number (an email or phone required)

  
  

need help?

Verification of Native Hawaiian Ancestry

Please check all applicable categories. (at least one is required)

• My birth certificate lists (Part) Hawaiian
• One of my parents birth certificate lists (Part) Hawaiian

Please list your parent(s) who are Hawaiian as it appears on her/his birth certificate

Mother's First Name

Mother's Middle Name

Mother's Last Name

Mother's Birth Date

Mother's Birth Place

Father's First Name

Father's Middle Name

Father's Last Name

Father's Birth Date

Father's Birth Place




• Other official certificate/registry listing (Part) Hawaiian

Other certificate (death, marriage, baptismal, registry, etc.):

• Attended The Kamehameha Schools

Was part of Kamehameha Schools class of (admitted as a native Hawaiian):

• Department of Hawaiian Home Lands lessee, renter, or wait list (verified)
• Operation Ohana

Operation Ohana Number:

• Kau Inoa (ancestry confirmed)
• Kamehameha Schools Ho‘oulu Hawaiian Data Center
• Hawaiian Registry at OHA

Number

• None of these fit but I can prove ancestry through another ancestor

Please describe and upload any supporting documentation




Click "Confirm Info" to review your registration.