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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000798

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Andre Emile GabrielHaran Sex Male

Date of Birth April 16, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father Victor Haran MAIDEN NAME of Mother Gabriel Forget

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

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

Occupation of Father at Birth of child Employee at Steel Works, Sydney, NS Place of birth of Father St. Pierre & Miquelon

Race Name and present address of Physician in attendance at birth

Signature of Applicant A. E. G. Haran Address of Applicant 29A Ongar Way, Rainham, Essex, England, RM13 7TS Date 9 February 1981

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Andre Emile GabrielHaran

Born at Sydney in the County of Cape Breton

That Andre Emile GabrielHaran Whose Birth is sought to be registered was

born at Sydney Cape Breton County on April 16, 1923

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

Following my request to the "Sacred Heart" Church at Sydney, NS in 1946 which gladly posted on to me "Certificate of Baptism" enclosed herewith.

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