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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000479

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Harold LewisFerdinand Sex Male

Date of Birth April 13, 1924 Place of Birth PugwashCounty of Cumberland

Name of Father Arthur Alfred Ferdinand MAIDEN NAME of Mother Bertha Emily Teed

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

Residence of Father when child was born Pugwash, Cumberland Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Pugwash, Cumberland Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Harold L. Ferdinand Address of Applicant Pugwash, Cumberland Co., NS Date 28 August 1975

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Harold LewisFerdinand

Born at Pugwash in the County of Cumberland

That Harold LewisFerdinand Whose Birth is sought to be registered was

born at Pugwash Cumberland County on April 13, 1924

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

Record from Canadian Penitentiary Services (enclosed) School register, year 1934-35 Record from Teacher (Mrs. Laura Mattinson, enclosed)

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