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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000316

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Terrance LewisCorbin Sex Male

Date of Birth September 21, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father Francis Albro Corbin MAIDEN NAME of Mother Myrtle Adamore

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

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

Occupation of Father at Birth of child Truck Driver Place of birth of Father Halifax

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

Signature of Applicant Terrance L. Corbin Address of Applicant 83 George Dauphinee Avenue, Halifax Date 23 July 1959

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Terrance LewisCorbin

Born at Halifax in the County of Halifax

That Terrance LewisCorbin Whose Birth is sought to be registered was

born at Halifax Halifax County on September 21, 1920

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

I've been told I was born on this date. Have considered this date as by birthday all my live and have a baptismal certificate stating so. Certificate of Baptism is attached.

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