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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000127

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Charles KennethSymonds Sex Male

Date of Birth March 12, 1924 Place of Birth Hammonds PlainsCounty of Halifax

Name of Father Edmund Harvey Symonds MAIDEN NAME of Mother Gertrude Viola Wilson

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

Residence of Father when child was born Hammonds Plains, Halifax Co., NS Present address of Father Hammonds Plains, Halifax Co., NS

Occupation of Father at Birth of child Cooper Place of birth of Father Hammonds Plains, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Edmund H. Symonds Address of Applicant Hammonds Plains, Halifax Co., NS Date 19 April 1952

Relationship of Applicant to child Son

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Charles KennethSymonds

Born at Hammonds Plains in the County of Halifax

That Charles KennethSymonds Whose Birth is sought to be registered was

born at Hammonds Plains Halifax County on March 12, 1924

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

I am the father of Charles Kenneth Symonds Records in family Bible (also marriage records)

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