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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000783

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Edwin FraserChampion Sex Male

Date of Birth July 15, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father Horatio Champion MAIDEN NAME of Mother Margaret Cuff

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

Residence of Father when child was born Sydney, Cape Breton Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Steel Worker Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Edwin F. Champion Address of Applicant 312 Lingan Road, Sydney, Cape Breton Co., NS Date 7 June 1984

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Edwin FraserChampion

Born at Sydney in the County of Cape Breton

That Edwin FraserChampion Whose Birth is sought to be registered was

born at Sydney Cape Breton County on July 15, 1924

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

Birth Certificate

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