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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100060

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John HerbertCollings Sex Male

Date of Birth February 20, 1921 Place of Birth Tufts CoveCounty of Halifax

Name of Father Herbert Collings MAIDEN NAME of Mother Lily Tufts

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

Residence of Father when child was born Halifax Present address of Father 35 Jackson St. Dartmouth

Occupation of Father at Birth of child Rope Factory Place of birth of Father Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Eileen Collings Address of Applicant Waverley Date August 20, 1984

Relationship of Applicant to child Wife

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John HerbertCollings

Born at Tufts Cove in the County of Halifax

That John HerbertCollings Whose Birth is sought to be registered was

born at Tufts Cove Halifax County on February 20, 1921

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

Baptismal

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