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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000679

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Douglas RobertHambleton Sex Male

Date of Birth October 14, 1920 Place of Birth New GlasgowCounty of Pictou

Name of Father Arthur Hambleton MAIDEN NAME of Mother Dorothy Matthews

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

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

Occupation of Father at Birth of child Insurance Agent Place of birth of Father England

Race White Name and present address of Physician in attendance at birth Deceased

Signature of Applicant D.R. Hambleton Address of Applicant Halifax Date May 15, 1974

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Douglas RobertHambleton

Born at New Glasgow in the County of Pictou

That Douglas RobertHambleton Whose Birth is sought to be registered was

born at New Glasgow Pictou County on October 14, 1920

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

As told by my parents

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