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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000271

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ralph LyallMcCallum Sex

Date of Birth November 15, 1920 Place of Birth TruroCounty of Colchester

Name of Father Martin Blair McCallum MAIDEN NAME of Mother Ada Swallow Johnson

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

Residence of Father when child was born Truro Present address of Father deceased

Occupation of Father at Birth of child Lumberman Place of birth of Father McCallum Settlement

Race Scottish Name and present address of Physician in attendance at birth Dr. D. McCurdy, Truro

Signature of Applicant C.L. McCallum Address of Applicant 39 Quinn Street, Halifax Date January 14, 1957

Relationship of Applicant to child Brother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ralph LyallMcCallum

Born at Truro in the County of Colchester

That Ralph LyallMcCallum Whose Birth is sought to be registered was

born at Truro Colchester County on November 15, 1920

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

My Knowledge is derived from having lived with my brother, Ralph McCallum from the time of his birth until he attained the age of nineteen years.

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