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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000759

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of JohnRobinson Sex Male

Date of Birth January 31, 1923 Place of Birth North SydneyCounty of Cape Breton

Name of Father Frank Robinson MAIDEN NAME of Mother Edith Whittle Robinson

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

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

Occupation of Father at Birth of child Coal Miner Place of birth of Father Ingonish, Victoria Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Benjamin Robinson Address of Applicant 18 Margaret Street, North Sydney, Cape Breton Co., NS Date 18 November 1979

Relationship of Applicant to child Brother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of JohnRobinson

Born at North Sydney in the County of Cape Breton

That JohnRobinson Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on January 31, 1923

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

I am an older brother and have knowledge of the fact.

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