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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000693

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of SilvioDi Nino Sex Male

Date of Birth February 14, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father Pietro Di Nino MAIDEN NAME of Mother  D'Angelo

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

Residence of Father when child was born Sydney Present address of Father Died in 1963

Occupation of Father at Birth of child Undersea Coal Miner Place of birth of Father Italy

Race Name and present address of Physician in attendance at birth

Signature of Applicant Silvio Di Nino Address of Applicant 94-11 60 Ave. Elmhurst, New York, USA Date June 20, 1977

Relationship of Applicant to child Myself

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of SilvioDi Nino

Born at Sydney in the County of Cape Breton

That SilvioDi Nino Whose Birth is sought to be registered was

born at Sydney Cape Breton County on February 14, 1921

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

Dated Baptism Certificate

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