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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200223

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gladys ConstanceWimperis Sex Female

Date of Birth November 10, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Charles John Wimperis MAIDEN NAME of Mother Elizabeth H Clarke

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

Residence of Father when child was born Halifax Present address of Father 6 North Park St.

Occupation of Father at Birth of child Soldier Place of birth of Father Woolwich, England

Race Name and present address of Physician in attendance at birth Dr. Harrison

Signature of Applicant Charles John Wimperis Address of Applicant 6 North Park St. Date 09 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gladys ConstanceWimperis

Born at Halifax in the County of Halifax

That Gladys ConstanceWimperis Whose Birth is sought to be registered was

born at Halifax Halifax County on November 10, 1919

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

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