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From transcribe
- Name in full Mr Dick John Thomas Benjamin
- Date of birth Day 31 Month 01 Year 1895
- Place of birth Nanaimo BC
- Wife's full maiden name Helen Marguerite Bramley
- Father Dick Archibald
- Mother Westwood Clara Elizabeth
- Given names of brothers or sisters James William Archibald Valleijo (Dick) Fanny Sarah Claribel