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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200175

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gerard DavidTwynam Sex Male

Date of Birth October 31, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father William David Twynam MAIDEN NAME of Mother Mary Janetta Crofter

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

Residence of Father when child was born Halifax Present address of Father King Edward Hotel

Occupation of Father at Birth of child Hotel manager Place of birth of Father Liverpool

Race Name and present address of Physician in attendance at birth Dr. A.R. MacDonald

Signature of Applicant William David Twynam Address of Applicant King Edward Hotel Date 14 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gerard DavidTwynam

Born at Halifax in the County of Halifax

That Gerard DavidTwynam Whose Birth is sought to be registered was

born at Halifax Halifax County on October 31, 1919

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

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