Male Birth Registration: Year: 1919 number: 64500011
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
64500011
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of Fraser ImmanForsyth Sex Male
Date of Birth October 10, 1919 Place of Birth AmherstCounty of Cumberland
Name of Father William John Forsyth MAIDEN NAME of Mother Mabel Elizabeth Bacon
Were the Parents married at the time of the Birth? Yes
Residence of Father when child was born Amherst Present address of Father 36 Melrose St.
Occupation of Father at Birth of child Carpenter Place of birth of Father Waterford, NB
Race Name and present address of Physician in attendance at birth Dr. W.T. Purdy
Signature of Applicant Mabel Elizabeth Forsyth Address of Applicant 36 Melrose St. Date 13 January 1920
Relationship of Applicant to child mother
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of Fraser ImmanForsyth
Born at Amherst in the County of Cumberland
That Fraser ImmanForsyth Whose Birth is sought to be registered was
born at Amherst Cumberland County on October 10, 1919
My knowledge of the fact and date of such Birth is based on the following Circumstances:
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=401191
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