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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000628

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Francis HughBeazley Sex Male

Date of Birth April 12, 1922 Place of Birth HalifaxCounty of Halifax

Name of Father Albert Beazley MAIDEN NAME of Mother Irene Christian

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

Residence of Father when child was born Halifax Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Francis Hugh Beazley Address of Applicant Halifax Date 27 April 1977

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Francis HughBeazley

Born at Halifax in the County of Halifax

That Francis HughBeazley Whose Birth is sought to be registered was

born at Halifax Halifax County on April 12, 1922

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

Baptismal and marriage extracts

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