Register of Residents — Application

Full legal name *

Other names (name at birth, Mohawk name)

Date of birth *

Place of birth

Basis of your standing *
Descent — posterity of the Mohawks named in the 1779 PledgeAdoption by the Nation's lawMarriage to a memberBirth to a registered member

Line of descent or basis, as you know it

Address *

Email

Telephone

Occupation

Sector / district of residence

Clan

Supporting documents (birth certificate, lineage papers, UELAC certificate as supplementary proof) — PDF, JPG or PNG, up to 5 files

I apply to be entered in the Register of Residents of the Mohawk Nation of Grand River Secretariat, consent to the Registrar General holding the particulars above for that purpose, and will attest to them on oath. *

Submit application