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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000128

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Robson DouglasRoss Sex Male

Date of Birth December 17, 1923 Place of Birth InvernessCounty of Inverness

Name of Father Alexander Fraser Ross MAIDEN NAME of Mother Mary Ann Campbell

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

Residence of Father when child was born Inverness Ns Present address of Father Pictou, NS

Occupation of Father at Birth of child Mechanical Supervisor at Inverness Coal Mines Place of birth of Father Thorburn, Pictou Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Alex F. Ross Address of Applicant PO Box 951, Pictou, NS Date 19 March 1957

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Robson DouglasRoss

Born at Inverness in the County of Inverness

That Robson DouglasRoss Whose Birth is sought to be registered was

born at Inverness Inverness County on December 17, 1923

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

That I, Alexander Fraser Ross, am the father of Robson Douglas Ross and that he was born in a dwelling house in Inverness Town in which I was living with my wife and family at that time. (Certificate of baptism attached)

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