Male Birth Registration: Year: 1921 number: 99000398
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
99000398
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of Roy BenfordForbes Sex Male
Date of Birth February 5, 1921 Place of Birth Glace BayCounty of Cape Breton
Name of Father James Edward Forbes MAIDEN NAME of Mother Mary Hart
Were the Parents married at the time of the Birth? Yes
Residence of Father when child was born Glace Bay Present address of Father deceased
Occupation of Father at Birth of child Miner Place of birth of Father Loraine
Race English Name and present address of Physician in attendance at birth deceased
Signature of Applicant Roy Benford Forbes Address of Applicant 6116 Lawrence St. Halifax Date December 30, 1968
Relationship of Applicant to child Self
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of Roy BenfordForbes
Born at Glace Bay in the County of Cape Breton
That Roy BenfordForbes Whose Birth is sought to be registered was
born at Glace Bay Cape Breton County on February 5, 1921
My knowledge of the fact and date of such Birth is based on the following Circumstances:
Certificate of Baptism
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=416791
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