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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000876

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Morgan JamesDicks Sex Male

Date of Birth November 5, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father Saul Dicks MAIDEN NAME of Mother Jessie Dickson

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

Residence of Father when child was born Victoria Road, Sydney, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Steel Worker Place of birth of Father Port Aux Basque, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Morgan James Dicks Address of Applicant 43 Green Road, Sydney, Cape Breton Date 27 January 1982

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Morgan JamesDicks

Born at Sydney in the County of Cape Breton

That Morgan JamesDicks Whose Birth is sought to be registered was

born at Sydney Cape Breton County on November 5, 1922

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

Information received from parents School record (attached) Sydney Steel record (attached)

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