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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000050

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Fouad FrancisKawaja Sex Male

Date of Birth January 4, 1920 Place of Birth North SydneyCounty of Cape Breton

Name of Father Salem Kawaja MAIDEN NAME of Mother Catherine Matter

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

Residence of Father when child was born North Sydney Present address of Father North Sydney

Occupation of Father at Birth of child Merchant Place of birth of Father Lebanon

Race British Name and present address of Physician in attendance at birth Dr. Rhindress deceased

Signature of Applicant Salem Kawaja Address of Applicant North Sydney Date July 26, 1947

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Fouad FrancisKawaja

Born at North Sydney in the County of Cape Breton

That Fouad FrancisKawaja Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on January 4, 1920

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

I am his Father and enclosed Baptismal Certificate

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