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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000054

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth June 3, 1922 Place of Birth AntigonishCounty of Antigonish

Name of Father Alexander Duncan Gillis MAIDEN NAME of Mother Katherine MacGillvary

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

Residence of Father when child was born Antigonish Present address of Father 1142 North Park Street, Victoria, British Columbia

Occupation of Father at Birth of child Pipe Fitter Place of birth of Father Antigonish

Race Name and present address of Physician in attendance at birth

Signature of Applicant John H. Gillis Address of Applicant Vancouver College, 384 Cartier Street, Vancouver, BC Date 6 May 1948

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Antigonish in the County of Antigonish

That John HermanGillis Whose Birth is sought to be registered was

born at Antigonish Antigonish County on June 3, 1922

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

I am his mother (signed by Katherine Gillis)

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