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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100132

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of FrancisMalinowski Sex Male

Date of Birth October 4, 1920 Place of Birth SydneyCounty of Cape Breton

Name of Father Alexander malinowski MAIDEN NAME of Mother Mary Sakofos (Sakalauskas)

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 Poland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Francis Malinowski Address of Applicant 19 Carson Street, Wabush, Newfoundland & Labrador Date 4 August 1981

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of FrancisMalinowski

Born at Sydney in the County of Cape Breton

That FrancisMalinowski Whose Birth is sought to be registered was

born at Sydney Cape Breton County on October 4, 1920

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

Baptismal

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