
| Ontario Vital Statistics Birth Registration Form | ||
| Microfilm # | ||
| Registration # | ||
| When Born | ||
| Name | ||
| Sex | ||
| Name and Surname of Father | ||
| Name and Maiden Surname of Mother | ||
| Rank or Profession of Informant | ||
| Signature, Description and Residence of Informant | ||
| When Registered | ||
| Name of Accoucheur | ||
| Signature of Registrar | ||
| Remarks / County | ||
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