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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200253

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John Jellicoe AnnetteAbraham Sex Male

Date of Birth November 15, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father   MAIDEN NAME of Mother Mary Locke Abraham

Residence of Father when child was born Present address of Father

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

Race Name and present address of Physician in attendance at birth Mrs. Kelly

Signature of Applicant Mary Locke Abrahams Address of Applicant 40 Cornwallis St. Date 12 December 1919

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John Jellicoe AnnetteAbraham

Born at Halifax in the County of Halifax

That John Jellicoe AnnetteAbraham Whose Birth is sought to be registered was

born at Halifax Halifax County on November 15, 1919

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

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