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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000593

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of William TerenceDwyer Sex Male

Date of Birth December 19, 1920 Place of Birth SydneyCounty of Cape Breton

Name of Father George Dwyer MAIDEN NAME of Mother Mary Dawe

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

Residence of Father when child was born Sydney, Cape Breton Co. Present address of Father deceased

Occupation of Father at Birth of child Steelworker Place of birth of Father Newfoundland & Labarador

Race Irish Name and present address of Physician in attendance at birth -

Signature of Applicant Terence Dwyer Address of Applicant 444 Birchill Drive, Sydney Date 31 May 1972

Relationship of Applicant to child Applicant

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William TerenceDwyer

Born at Sydney in the County of Cape Breton

That William TerenceDwyer Whose Birth is sought to be registered was

born at Sydney Cape Breton County on December 19, 1920

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

Baptism certificate previously forwarded

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