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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000124

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of George PeterSigut Sex Male

Date of Birth March 10, 1920 Place of Birth SydneyCounty of Cape Breton

Name of Father Thomas Sigut MAIDEN NAME of Mother Antonia Valek

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

Residence of Father when child was born 214 Gatacre St. Sydney Present address of Father deceased

Occupation of Father at Birth of child Steelworker Place of birth of Father Moravia, Czechoslovakia

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

Signature of Applicant Mrs. Antonia Sigut Address of Applicant 214 Gatacre St. Sydney Date July 26, 1943

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of George PeterSigut

Born at Sydney in the County of Cape Breton

That George PeterSigut Whose Birth is sought to be registered was

born at Sydney Cape Breton County on March 10, 1920

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

I am the mother of George Peter Sigut. An base knowledge of date of birth on baptismal certificate.

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