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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000776

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Robert EdwardsSlaunwhite Sex Male

Date of Birth December 25, 1920 Place of Birth Terence BayCounty of Halifax

Name of Father Edward Slaunwhite MAIDEN NAME of Mother Laura Jollimore

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

Residence of Father when child was born Terence Bay Present address of Father deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father Terence Bay

Race Name and present address of Physician in attendance at birth

Signature of Applicant Robert Edward Slaunwhite Address of Applicant Terence Bay Date April 20, 1976

Relationship of Applicant to child own self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Robert EdwardsSlaunwhite

Born at Terence Bay in the County of Halifax

That Robert EdwardsSlaunwhite Whose Birth is sought to be registered was

born at Terence Bay Halifax County on December 25, 1920

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

Certificate of Baptism

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