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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000127

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Edmund RogerHollingsworth Sex Male

Date of Birth November 9, 1920 Place of Birth CamdenCounty of Colchester

Name of Father Edmund Roger Hollingsworth MAIDEN NAME of Mother Esther Jane White

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

Residence of Father when child was born Camden Present address of Father Camden

Occupation of Father at Birth of child Lumberman Place of birth of Father Camden

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

Signature of Applicant Edmund Roger Hollingsworth Address of Applicant Hilden Date December 15, 1949

Relationship of Applicant to child making own application

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Edmund RogerHollingsworth

Born at Camden in the County of Colchester

That Edmund RogerHollingsworth Whose Birth is sought to be registered was

born at Camden Colchester County on November 9, 1920

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

From School records firth year attendance I was 7 years 7 months 21 days on the 30 Day of June 1928, also from a record kept by Mrs. Elizabeth Henderson of our whole family which states that I am born on November 9, 1920 (affidavit from memory attached). I have examined both of these records and find that the above as stated is correct

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