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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100138

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Charles WilliamSelig Sex Male

Date of Birth March 1, 1920 Place of Birth East CliffordCounty of Lunenburg

Name of Father Albert lloyd Selig MAIDEN NAME of Mother Florence May Hubley

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

Residence of Father when child was born East Clifford, Lunenburg Co. Present address of Father RR #3, Aylesford, Kings Co.

Occupation of Father at Birth of child Carpenter Place of birth of Father not given

Race Name and present address of Physician in attendance at birth

Signature of Applicant Charles W. Selig Address of Applicant Aylesford, Kings Co. Date 4 September 1981

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Charles WilliamSelig

Born at East Clifford in the County of Lunenburg

That Charles WilliamSelig Whose Birth is sought to be registered was

born at East Clifford Lunenburg County on March 1, 1920

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

From church records as attached

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