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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000116

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Leslie GrantRogers Sex Male

Date of Birth February 21, 1922 Place of Birth WolfvilleCounty of Kings

Name of Father Howard W. Rogers MAIDEN NAME of Mother Viola Grace Rogers

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

Residence of Father when child was born Wolfville, Kings Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Wolfville, Kings

Race Name and present address of Physician in attendance at birth

Signature of Applicant L. G. Rogers Address of Applicant Wolfville, Kings Date 3 April 1951

Relationship of Applicant to child Myself

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Leslie GrantRogers

Born at Wolfville in the County of Kings

That Leslie GrantRogers Whose Birth is sought to be registered was

born at Wolfville Kings County on February 21, 1922

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

Age given by parents at his baptism, November 6, 1932 (church records). Conversation with his mother - this date

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