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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90500381

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Frederick AlexanderEgner Sex Male

Date of Birth December 2, 1921 Place of Birth BridgewaterCounty of Lunenburg

Name of Father John William Egner MAIDEN NAME of Mother Edna Monk

Residence of Father when child was born Bridgewater Present address of Father deceased

Occupation of Father at Birth of child Railway Employee Place of birth of Father Bridgewater

Race Name and present address of Physician in attendance at birth

Signature of Applicant Edna Egner Address of Applicant Bridgewater Date 31 August 1939

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Frederick AlexanderEgner

Born at Bridgewater in the County of Lunenburg

That Frederick AlexanderEgner Whose Birth is sought to be registered was

born at Bridgewater Lunenburg County on December 2, 1921

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

That I am his Mother

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