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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000319

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Walter MaxwellKeogh-Dwyer Sex Male

Date of Birth March 13, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father Carden Keogh-Dwyer MAIDEN NAME of Mother Ethel Perrott

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

Residence of Father when child was born Halifax Present address of Father Highland Lakes, New Jersey, USA

Occupation of Father at Birth of child Seaman Place of birth of Father Brooklyn, New York, USA

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

Signature of Applicant Carden Keogh-Dwyer Address of Applicant Highland Lakes, New Jersey, USA Date 27 August 1959

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Walter MaxwellKeogh-Dwyer

Born at Halifax in the County of Halifax

That Walter MaxwellKeogh-Dwyer Whose Birth is sought to be registered was

born at Halifax Halifax County on March 13, 1920

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

Baptismal certificate. This is a twin of Winifred Catherine who was born on the preceding day.

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