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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90501830

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of William RolandRobb Sex Male

Date of Birth August 7, 1920 Place of Birth ShubenacadieCounty of Hants

Name of Father John Sinclair Robb MAIDEN NAME of Mother Eliza Frances Dernier

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born Shubenacadie, Hants Co. Present address of Father Shubenacadie, Hants Co.

Occupation of Father at Birth of child Lumberman Place of birth of Father West Branch River John, Pictou Co.

Race Anglo Saxon Name and present address of Physician in attendance at birth F. F. Eaton, M.D., Truro

Signature of Applicant John Sinclair Robb Address of Applicant Shubenacadie, Hants Co. Date 22 January 1941

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William RolandRobb

Born at Shubenacadie in the County of Hants

That William RolandRobb Whose Birth is sought to be registered was

born at Shubenacadie Hants County on August 7, 1920

My knowledge of the fact and date of such Birth is based on the following Circumstances:

that I am the father of William Roland Robb and was present in the home on August 7, 1970 when my son was born.

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