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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100207

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ernest JohnForrest Sex Male

Date of Birth January 4, 1920 Place of Birth Newport CornerCounty of Hants

Name of Father William Forrest MAIDEN NAME of Mother Myra Partridge

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

Residence of Father when child was born Newport Corner, Hants Co. Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Newport Corner, Hants Co.

Race Name and present address of Physician in attendance at birth

Signature of Applicant Ernest J. Forrest Address of Applicant Newport Corner, Hants Co. Date 7 February 1983

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ernest JohnForrest

Born at Newport Corner in the County of Hants

That Ernest JohnForrest Whose Birth is sought to be registered was

born at Newport Corner Hants County on January 4, 1920

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

From the record of birth in our old family bible it is recorded "Ernest John Forrest - January 4th, 1920 child of Myra & William Forrest

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