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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000218

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Roland MaxwellYoung Sex Male

Date of Birth February 18, 1923 Place of Birth Youngs CoveCounty of Annapolis

Name of Father Bernard Lawrencetown Young MAIDEN NAME of Mother Nema May Longmire

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

Residence of Father when child was born Youngs Cove Annapolis Co. Ns Present address of Father Bedford, Halifax Co., NS

Occupation of Father at Birth of child Fisherman Place of birth of Father Youngs Cove, Annapolis Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Nema M. Young Address of Applicant Bedford, Halifax Co., NS Date 29 April 1957

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Roland MaxwellYoung

Born at Youngs Cove in the County of Annapolis

That Roland MaxwellYoung Whose Birth is sought to be registered was

born at Youngs Cove Annapolis County on February 18, 1923

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

From personal knowledge and confirmed by entry in our family bible. National registration report.

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