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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200030

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 7, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father George William Nicholson MAIDEN NAME of Mother Margaret Ellen Renner

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

Residence of Father when child was born Armdale Present address of Father

Occupation of Father at Birth of child Carpenter Place of birth of Father Halifax

Race Name and present address of Physician in attendance at birth McD. Morton

Signature of Applicant George William Nicholson Address of Applicant Armdale Date 01 November 1919

Relationship of Applicant to child father

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That Ernest AlbertNicholson Whose Birth is sought to be registered was

born at Halifax Halifax County on October 7, 1919

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

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