Member details update Association of Salaried Medical Specialists First Name* Surname* Member Number (if known) Gender - optional Male Female Gender Diverse Current Employer*PLEASE SELECTAuckland HospitalBay of Plenty HospitalCapital & Coast HospitalCanterbury HospitalCounties Manukau HospitalHawkes Bay HospitalHutt Valley HospitalLakes HospitalMidCentral HospitalNelson-Marlborough HospitalNorthland HospitalSouthern HospitalSouth Canterbury HospitalTairawhiti HospitalTaranaki HospitalWaikato HospitalWairarapa HospitalWaitemata HospitalWest Coast HospitalWhanganui HospitalOTHEROther Employer Personal email addressPlease provide a non work email address if you have one Mobile Ethnicity*PLEASE SELECTNZ MāoriNew Zealand European / PakehaAfricanAmericanAsianAustralianBritish & IrishCambodianChineseCook Island MāoriDutchFijianFilipinoFrenchGermanGreekIndianItalianJapaneseKoreanLatin American / HispanicMiddle EasternNiueanOtherPolishSamoanSoutheast AsianSri LankanTokelauanTonganVietnameseOther Ethnicity IwiPlease selectMuaūpokoNgā PuhiNgā RauruNgā RuahineNgā RuanuiNga TaiNgāi TahuNgāi Te RangiNgāti ApaNgāti AwaNgāti HauāNgāti HuiaNgāti KahuNgāti KahungunuNgāti KoataNgāti KuiaNgāti MahutaNgāti MahutaNgāti MamoeNgāti ManiapotoNgāti MaruNgāti MutungaNgāti PaoaNgāti PorouNgāti RanginuiNgāti RāruaNgāti RaukawaNgāti RuapaniNgāti TaiNgāti TamaNgāti Tama KopiriNgāti TāmanuhiriNgāti TamaterāNgāti Te AtaNgāti TūtekoheNgāti TūwharetoaNgāti WhanaungaNgāti WhātuaNgāti Whātua ki TāmakiRangitāneRongo WhakaataTaranakiTe Aitanga-ā-HautiTe Aitanga-ā-MākakiTe ArawaTe Āti AwaTe Āti HauTe AupouriTe RarawaTūhoeWaitahaWhakatoheaWhānau-a-apanuiOther IwiOther Iwi IwiPlease selectMuaūpokoNgā PuhiNgā RauruNgā RuahineNgā RuanuiNga TaiNgāi TahuNgāi Te RangiNgāti ApaNgāti AwaNgāti HauāNgāti HuiaNgāti KahuNgāti KahungunuNgāti KoataNgāti KuiaNgāti MahutaNgāti MahutaNgāti MamoeNgāti ManiapotoNgāti MaruNgāti MutungaNgāti PaoaNgāti PorouNgāti RanginuiNgāti RāruaNgāti RaukawaNgāti RuapaniNgāti TaiNgāti TamaNgāti Tama KopiriNgāti TāmanuhiriNgāti TamaterāNgāti Te AtaNgāti TūtekoheNgāti TūwharetoaNgāti WhanaungaNgāti WhātuaNgāti Whātua ki TāmakiRangitāneRongo WhakaataTaranakiTe Aitanga-ā-HautiTe Aitanga-ā-MākakiTe ArawaTe Āti AwaTe Āti HauTe AupouriTe RarawaTūhoeWaitahaWhakatoheaWhānau-a-apanuiOther IwiOther Iwi EthnicityOptionalNZ MāoriNew Zealand European / PakehaAfricanAmericanAsianAustralianBritish & IrishCambodianChineseCook Island MāoriDutchFijianFilipinoFrenchGermanGreekIndianItalianJapaneseKoreanLatin American / HispanicMiddle EasternNiueanOtherPolishSamoanSoutheast AsianSri LankanTokelauanTonganVietnameseOther Ethnicity IwiPlease selectMuaūpokoNgā PuhiNgā RauruNgā RuahineNgā RuanuiNga TaiNgāi TahuNgāi Te RangiNgāti ApaNgāti AwaNgāti HauāNgāti HuiaNgāti KahuNgāti KahungunuNgāti KoataNgāti KuiaNgāti MahutaNgāti MahutaNgāti MamoeNgāti ManiapotoNgāti MaruNgāti MutungaNgāti PaoaNgāti PorouNgāti RanginuiNgāti RāruaNgāti RaukawaNgāti RuapaniNgāti TaiNgāti TamaNgāti Tama KopiriNgāti TāmanuhiriNgāti TamaterāNgāti Te AtaNgāti TūtekoheNgāti TūwharetoaNgāti WhanaungaNgāti WhātuaNgāti Whātua ki TāmakiRangitāneRongo WhakaataTaranakiTe Aitanga-ā-HautiTe Aitanga-ā-MākakiTe ArawaTe Āti AwaTe Āti HauTe AupouriTe RarawaTūhoeWaitahaWhakatoheaWhānau-a-apanuiOther IwiOther Iwi IwiPlease selectMuaūpokoNgā PuhiNgā RauruNgā RuahineNgā RuanuiNga TaiNgāi TahuNgāi Te RangiNgāti ApaNgāti AwaNgāti HauāNgāti HuiaNgāti KahuNgāti KahungunuNgāti KoataNgāti KuiaNgāti MahutaNgāti MahutaNgāti MamoeNgāti ManiapotoNgāti MaruNgāti MutungaNgāti PaoaNgāti PorouNgāti RanginuiNgāti RāruaNgāti RaukawaNgāti RuapaniNgāti TaiNgāti TamaNgāti Tama KopiriNgāti TāmanuhiriNgāti TamaterāNgāti Te AtaNgāti TūtekoheNgāti TūwharetoaNgāti WhanaungaNgāti WhātuaNgāti Whātua ki TāmakiRangitāneRongo WhakaataTaranakiTe Aitanga-ā-HautiTe Aitanga-ā-MākakiTe ArawaTe Āti AwaTe Āti HauTe AupouriTe RarawaTūhoeWaitahaWhakatoheaWhānau-a-apanuiOther IwiOther Iwi