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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200338

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Baskerfield Sex Male

Date of Birth December 1, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father John Baskerfield MAIDEN NAME of Mother Catherine McDonald

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

Residence of Father when child was born Halifax Present address of Father No. 4 Churchfield [Barracks]

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

Race Name and present address of Physician in attendance at birth Dr. J.R. Cerston

Signature of Applicant John Baskerfield Address of Applicant No. 4 Churchfield [Barracks] Date 04 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Baskerfield

Born at Halifax in the County of Halifax

That Baskerfield Whose Birth is sought to be registered was

born at Halifax Halifax County on December 1, 1919

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

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