note: transcription publicly contributed - please contact us with comments, errors or omisions

PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000363

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Elsie Verna VeronicaKlesivic Sex Female

Date of Birth November 5, 1921 Place of Birth AmherstCounty of Cumberland

Name of Father Peter C. Klesivic MAIDEN NAME of Mother Tina Landry

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

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

Occupation of Father at Birth of child Moulder Place of birth of Father Somewhere in Europe, no further information available

Race Caucasian Name and present address of Physician in attendance at birth no knowledge

Signature of Applicant e. Klesivic Address of Applicant Apt. 603 833 Kennedy Rd. Scarboro, Ontario Date October 10, 1966

Relationship of Applicant to child applicant

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Elsie Verna VeronicaKlesivic

Born at Amherst in the County of Cumberland

That Elsie Verna VeronicaKlesivic Whose Birth is sought to be registered was

born at Amherst Cumberland County on November 5, 1921

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

I am the child in question and the above facts are verified by a Baptismal Certificate issued by St. Charles Church, Amherst dated April 12th, 1928, the baptism having taken place on November 20th, 1921.

Keyword Search looks for the "term" (one word or number works best) you type throughout the whole record. It is less accurate than the advanced search but it does let you search for age, religion, mother's maiden name, etc. if transcribed.