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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000047

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Hilda AgnesSigut Sex Female

Date of Birth June 10, 1922 Place of Birth Whitney PierCounty of Cape Breton

Name of Father Thomas Sigut MAIDEN NAME of Mother Antonia Valek

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

Residence of Father when child was born 214 Gatacre Street, Sydney, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Steelworker Place of birth of Father Czechoslovakia

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Antonia Sigut Address of Applicant 214 Gatacre Street, Sydney, Cape Breton Date 16 May 1947

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Hilda AgnesSigut

Born at Whitney Pier in the County of Cape Breton

That Hilda AgnesSigut Whose Birth is sought to be registered was

born at Whitney Pier Cape Breton County on June 10, 1922

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

I am her mother

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