Male Birth Registration: Year: 1921 number: 99000803
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
99000803
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of Charles CliffordJollimore Sex Male
Date of Birth June 7, 1921 Place of Birth Terence BayCounty of Halifax
Name of Father Morton Jollimore MAIDEN NAME of Mother Irene Smith
Were the Parents married at the time of the Birth? Yes
Residence of Father when child was born Terence Bay Present address of Father Terence Bay
Occupation of Father at Birth of child Fisherman Place of birth of Father Terence Bay
Race Name and present address of Physician in attendance at birth
Signature of Applicant Roger Jollimore Address of Applicant Terence Bay Date March 5, 1979
Relationship of Applicant to child Brother
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of Charles CliffordJollimore
Born at Terence Bay in the County of Halifax
That Charles CliffordJollimore Whose Birth is sought to be registered was
born at Terence Bay Halifax County on June 7, 1921
My knowledge of the fact and date of such Birth is based on the following Circumstances:
Charles Clifford Jollimore is my brother and I know the date and place of his birth to be true as told to me by my father
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=417196
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