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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200396

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Alicia DennisNicholas Sex Male

Date of Birth December 14, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Henry Dennis Nicholas MAIDEN NAME of Mother Karen Louise Johnson

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

Residence of Father when child was born Halifax Present address of Father 212 Creighton St.

Occupation of Father at Birth of child Sleeping car porter Place of birth of Father San Fernando, Trinidad

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

Signature of Applicant Henry Dennis Nicholas Address of Applicant 212 Creighton St. Date 19 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Alicia DennisNicholas

Born at Halifax in the County of Halifax

That Alicia DennisNicholas Whose Birth is sought to be registered was

born at Halifax Halifax County on December 14, 1919

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

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