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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000090

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of George AlbertWhare Sex Male

Date of Birth January 15, 1924 Place of Birth Eastern PassageCounty of Halifax

Name of Father Albert Whare MAIDEN NAME of Mother Ellen Williams

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

Residence of Father when child was born Eastern Passage, Halifax, NS Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Eastern Passage, Halifax, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant George Albert Whare Address of Applicant Eastern Passage, Halifax, NS Date 9 August 1949

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of George AlbertWhare

Born at Eastern Passage in the County of Halifax

That George AlbertWhare Whose Birth is sought to be registered was

born at Eastern Passage Halifax County on January 15, 1924

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

Certificate of baptism attached

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