note: transcription publicly contributed - please contact us with comments, errors or omisions

PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100117

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of RomanSiwak Sex Male

Date of Birth February 24, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father Roman Siwak MAIDEN NAME of Mother Caroline Gwozdz

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

Residence of Father when child was born Sydney Present address of Father MacGillivray Guest Home, Sydney

Occupation of Father at Birth of child Steel worker Place of birth of Father Gdynia, Poland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Roman Siwak Address of Applicant 73 Ferris St. Sydney Date August 12, 1985

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of RomanSiwak

Born at Sydney in the County of Cape Breton

That RomanSiwak Whose Birth is sought to be registered was

born at Sydney Cape Breton County on February 24, 1921

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

This is my own birth. Baptismal

Keyword Search looks for the "term" (one word or number works best) you type throughout the whole record. It is less accurate than the advanced search but it does let you search for age, religion, mother's maiden name, etc. if transcribed.