8. Cause of Retirement, [with annexed Medical Certificate, if from infirmity of mind or body, and under 60.]
Ill health.
9. Dates of Commencement and Termination of the several Appointments held by Applicant, with their Emoluments, distinguishing Salary from other Allowances, and specifying such Allowances. (See note b on page 1)
2nd Class Turnkey = 12 January 1866 - 1 March 1866. Dead Trunking 14 September 1866. Salary £75 per annum.
Transfered to Police Department. 19 January 1869.
12th Class Inspector. From 1 January 1867 to 30 June 1868. Salary £200 per annum. Required Gaol Department 1 July 1868.
Head Warder. From 1 July 1868 to 1 September 1868. Warden. From September 1868 to 28 February 1877. Salary - Commencing £150, raised in 1869 to £230 and in December 1870 to £300 per annum.
10. If the date of Appointment is subsequent to 19th April, 1859, state whether the situation is held directly from the Crown, or with a Certificate from the Civil Service Commissioners, or under Clause 4 of the Superannuation Act of 1859.
327
13. If any kind of pension or other allowance has been commuted under the Pensions Commutation Acts, 1869, and 1871, the annual amount of Pension or Allowance so commuted and the date of Commutation should be inserted.
No.
14. Absences during each of the last 10 years
YEAR Illness No. OF DAYS Other cause 1868 1869 4 1870 1871 £117.10. 1872 1873 215 1874 10 1875 1876 187715. Date of Cessation of Duty
28 February 1877
16. Date of Cessation of Salary
28 February 1877
11. Whether the duties of the several Offices or situations held since the applicant entered the Civil Service, have been such as to require that the holder should give his whole time to the Public Service.
The applicant has given whole time to the Public Service.
12. Whether holding any other Public Appointment, or receiving or claiming to receive any Public Money by Compensation, Half Pay or otherwise.
No.
17. Statement in terms of sec. viii of the Superannuation Act, of 1859, that the Applicant "has discharged his duties with diligence and fidelity, to the satisfaction of the Head Officer or Officers of his Department," to be signed by any two of such Head Officers, if there shall be more than one, or by such Head Officer, if there shall be but one, together with "such a statement as will exhibit the merit, and value, and labour of the services of the Person recommended, embracing as long a period of his public service as can be authentically stated," together with observations as to Special Services, Suspension, Reprimand, &c., with full particulars of any injuries received on duty, or other claims or matters for consideration.
W. Grey has done good service in the office assigned to him and retires from the service in consequence of ill health.
(Signed) J. Munchy, Supt. Victoria Gaol. (1st) By me, L. Fimlig, Asst. Supt. Victoria Gaol.
e. In the case of persons included in the definition of the term "Officer" in the 2nd Section of the Act 29 and 30 Vic., cap. 68, heading No. 10 should be read as if the date 6th August, 1866, were substituted for 19th April 1859; in the case of Officers of the Courts of Chancery and Bankruptcy, Ireland, it should be read as if the date 20th August, 1867, were substituted for 19th April, 1859.
Acting Colonial Secretary