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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000116

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Arthur WilliamWhite Sex Male

Date of Birth March 23, 1920 Place of Birth Eastern PassageCounty of Halifax

Name of Father Not listed  MAIDEN NAME of Mother Evelyn White

Were the Parents married at the time of the Birth?

Residence of Father when child was born Not listed Present address of Father Not listed

Occupation of Father at Birth of child Not listed Place of birth of Father Not listed

Race English Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Arthur White Address of Applicant Tuft's Cove Date October 13, 1948

Relationship of Applicant to child Wife

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Arthur WilliamWhite

Born at Eastern Passage in the County of Halifax

That Arthur WilliamWhite Whose Birth is sought to be registered was

born at Eastern Passage Halifax County on March 23, 1920

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

Certificate of Baptism attached.

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