Female Birth Registration: Year: 1921 number: 99000455
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
99000455
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of Catherine ContanceJackson Sex Female
Date of Birth January 12, 1921 Place of Birth HalifaxCounty of Halifax
Name of Father Lawrence Jackson MAIDEN NAME of Mother Muriel Parr
Were the Parents married at the time of the Birth? Yes
Residence of Father when child was born Halifax Present address of Father 17 Uplands Ave. Westdale, Ontario
Occupation of Father at Birth of child Soldier RCAMC Place of birth of Father England
Race White Name and present address of Physician in attendance at birth Dave Campbell
Signature of Applicant Constance Roy Address of Applicant 120, 15th Ave. Iberville, Quebec Date 29 October 1970
Relationship of Applicant to child I am the child
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of Catherine ContanceJackson
Born at Halifax in the County of Halifax
That Catherine ContanceJackson Whose Birth is sought to be registered was
born at Halifax Halifax County on January 12, 1921
My knowledge of the fact and date of such Birth is based on the following Circumstances:
Photostats of certificate of baptism and of a teaching diploma delivered, this one, by Province of Quebec, department of education
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=416848
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