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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93300458

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth January 30, 1906 Place of Birth ShelburneCounty of Shelburne

Name of Father M.S. Robertson MAIDEN NAME of Mother Jessie Hogg

Residence of Father when child was born Shelburne Present address of Father Shelburne

Occupation of Father at Birth of child Shoe Dealer Place of birth of Father Port John

Race Scottish Name and present address of Physician in attendance at birth Dr. Joseph Morton

Signature of Applicant M.S. Robertson Address of Applicant Shelburne Date 19 October 1925

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John EarlRobertson

Born at Shelburne in the County of Shelburne

That John EarlRobertson Whose Birth is sought to be registered was

born at Shelburne Shelburne County on January 30, 1906

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

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