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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000274

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Malcolm KennethDeYoung Sex Male

Date of Birth August 18, 1924 Place of Birth Eastern PassageCounty of Halifax

Name of Father Harold DeYoung MAIDEN NAME of Mother Edith Wells

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 Oil Workeer Place of birth of Father Eastern Passage, Halifax, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Malcolm K. DeYoung Address of Applicant Oromocto, New Brunswick Date 19 August 1964

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Malcolm KennethDeYoung

Born at Eastern Passage in the County of Halifax

That Malcolm KennethDeYoung Whose Birth is sought to be registered was

born at Eastern Passage Halifax County on August 18, 1924

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

Certificate of baptism

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