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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000945

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Malcolm Norman MacIntoshMorrison Sex Male

Date of Birth March 2, 1920 Place of Birth SydneyCounty of Cape Breton

Name of Father Malcolm Morrison MAIDEN NAME of Mother Catherine Ferguson

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

Residence of Father when child was born Sydney Present address of Father deceased

Occupation of Father at Birth of child Place of birth of Father St. Ann's

Race Name and present address of Physician in attendance at birth

Signature of Applicant Malcolm Morrison Address of Applicant Blacketts Lake Date May 23, 1978

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Malcolm Norman MacIntoshMorrison

Born at Sydney in the County of Cape Breton

That Malcolm Norman MacIntoshMorrison Whose Birth is sought to be registered was

born at Sydney Cape Breton County on March 2, 1920

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

A copy of the baptismal certificate as certified by a letter of March 10, 1977. The knowledge of my birth date as passed on by my mother.

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