Male Birth Registration: Year: 1922 number: 99000329
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
99000329
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of Wilfred LawrenceKaulback Sex Male
Date of Birth March 2, 1922 Place of Birth DalhousieCounty of Kings
Name of Father Fred St. Clair Kaulback MAIDEN NAME of Mother Mona Prest
Were the Parents married at the time of the Birth? Yes
Residence of Father when child was born Lake View, Halifax Present address of Father 4184 Glenmore Road
Occupation of Father at Birth of child farmer Place of birth of Father Matsgui, British Columbia
Race Name and present address of Physician in attendance at birth
Signature of Applicant W. Kaulback Address of Applicant 204 34th Avenue NW, Calgary, Alberta Date 1 May 1965
Relationship of Applicant to child Self
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of Wilfred LawrenceKaulback
Born at Dalhousie in the County of Kings
That Wilfred LawrenceKaulback Whose Birth is sought to be registered was
born at Dalhousie Kings County on March 2, 1922
My knowledge of the fact and date of such Birth is based on the following Circumstances:
Baptismal certificate taken from the register of births of the Parish of Christ Church, New Ross, Lunenburg
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=431581
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