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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000707

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Frank VictorCaldwell Sex Male

Date of Birth July 13, 1923 Place of Birth Three Mile PlainsCounty of Hants

Name of Father William Caldwell MAIDEN NAME of Mother Sarah Whitehead

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

Residence of Father when child was born Three Mile Plains Hants Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Driller Place of birth of Father Three Mile Plains, Hants Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Frank V. Caldwell Address of Applicant RR #2, Windsor, Hants Co., NS Date 15 March 1979

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Frank VictorCaldwell

Born at Three Mile Plains in the County of Hants

That Frank VictorCaldwell Whose Birth is sought to be registered was

born at Three Mile Plains Hants County on July 13, 1923

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

Baptismal certificate Extract from marriage record

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