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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000255

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John CharlesGillis Sex Male

Date of Birth January 16, 1920 Place of Birth GillisdaleCounty of Inverness

Name of Father Duncan Y. Gillis MAIDEN NAME of Mother Annie MacLellan

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

Residence of Father when child was born Gillisdale, Inverness Co. Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Gillisdale, Inverness Co.

Race Scottish Name and present address of Physician in attendance at birth Mrs. Alexander Gillis, midwife

Signature of Applicant J. C. Gillis Address of Applicant 11 Caen Court, Picton, Ontario Date 13 April 1956

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John CharlesGillis

Born at Gillisdale in the County of Inverness

That John CharlesGillis Whose Birth is sought to be registered was

born at Gillisdale Inverness County on January 16, 1920

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

Certificate of birth and Baptism issued by the rector of the church where he was baptized. this certificate is legal and is certainly the best proof we can have of the birth and Baptism of this man. this certificate has the seal of the church.

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