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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91600914

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Albert CharlesKeeping Sex Male

Date of Birth September 28, 1923 Place of Birth Tufts CoveCounty of Halifax

Name of Father Albert William Keeping MAIDEN NAME of Mother Gertrude Maud Hawes

Residence of Father when child was born Tufts Cove, Halifax Co., NS Present address of Father Tufts Cove, Halifax Co., NS

Occupation of Father at Birth of child Stevedore Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Gertrude Maud Keeping Address of Applicant Tufts Cove, Halifax Co., NS Date 22 October 1942

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Albert CharlesKeeping

Born at Tufts Cove in the County of Halifax

That Albert CharlesKeeping Whose Birth is sought to be registered was

born at Tufts Cove Halifax County on September 28, 1923

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

I am the mother of Albert Charles Keeping

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