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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93300457

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Victor RossKaizer Sex Male

Date of Birth November 9, 1906 Place of Birth BilltownCounty of Kings

Name of Father Walace Ross Kaizer MAIDEN NAME of Mother Jessie Blanche Sanford

Residence of Father when child was born Billtown Present address of Father Kentville

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

Race English Name and present address of Physician in attendance at birth Dr. W.S. Woodworth

Signature of Applicant Walace Ross Kaizer Address of Applicant Kentville Date 26 October 1925

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Victor RossKaizer

Born at Billtown in the County of Kings

That Victor RossKaizer Whose Birth is sought to be registered was

born at Billtown Kings County on November 9, 1906

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

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