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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000043

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth September 7, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father Frederick Gerald Gorman MAIDEN NAME of Mother Isabel Wills

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

Residence of Father when child was born Halifax Present address of Father Purcells Cove

Occupation of Father at Birth of child Driver Place of birth of Father Halifax

Race Irish Name and present address of Physician in attendance at birth deceased

Signature of Applicant William Gerald Gorman Address of Applicant Purcells Cove Date August 22, 1947

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That William GeraldGorman Whose Birth is sought to be registered was

born at Halifax Halifax County on September 7, 1920

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

Of a certificate of Baptism from St. Patricks Church at Halifax

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