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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000352

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Norman ThomasForbes Sex Male

Date of Birth April 7, 1923 Place of Birth DominionCounty of Cape Breton

Name of Father William Forbes MAIDEN NAME of Mother Annabelle Maud Hicks

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

Residence of Father when child was born Dominion Cape Breton Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Coal Miner Place of birth of Father Louisbourg, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Norman Thomas Forbes Address of Applicant 5 Dominion Street, Dominion, Cape Breton Co., NS Date 17 March 1969

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Norman ThomasForbes

Born at Dominion in the County of Cape Breton

That Norman ThomasForbes Whose Birth is sought to be registered was

born at Dominion Cape Breton County on April 7, 1923

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

It is the date shown on employment records of Dominion coal Company Limited (now Cape Breton Development Corporation) an extract taken from which is attached hereto. It is also the date shown on the family bible record of the late William Forbes and his deceased wife Annabelle Maud Hicks, a certified extract from which is also attached.

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