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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000207

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Forrest McLeanHyland Sex Male

Date of Birth October 5, 1924 Place of Birth LakeviewCounty of Halifax

Name of Father William Hyland MAIDEN NAME of Mother Catherine Coolen

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father Deceased

Occupation of Father at Birth of child Place of birth of Father Halifax, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Forrest M. Hyland Address of Applicant 39 Murray Hill Drive, Dartmouth, NS Date 17 September 1958

Relationship of Applicant to child Personal application

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Forrest McLeanHyland

Born at Lakeview in the County of Halifax

That Forrest McLeanHyland Whose Birth is sought to be registered was

born at Lakeview Halifax County on October 5, 1924

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

That I entered School in the year 1932 approximately 1 month before my 8th birthday, that being my first year of school, and my certificate of Baptism

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