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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92000152

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Arthur KentonSelig Sex Male

Date of Birth December 7, 1921 Place of Birth North BrookfieldCounty of Queens

Name of Father Maynard Selig MAIDEN NAME of Mother Minnie Jefferson

Residence of Father when child was born North Brookfield, Queens Co., NS Present address of Father Bridgewater, Lunenburg Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father East Clifford, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Maynard Selig Address of Applicant Bridgewater, Lunenburg Co., NS Date 31 March 1942

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Arthur KentonSelig

Born at North Brookfield in the County of Queens

That Arthur KentonSelig Whose Birth is sought to be registered was

born at North Brookfield Queens County on December 7, 1921

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

Arthur Kenton Selig is my son and was at home at the time of his birth.

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