LAC

(2)

(3)

390

10. Whether each of the Appointments held by the Applicant has been on the Fixed Establishment of the Colony,

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.

12. Whether holding any other Public Appointment, or receiving or claiming to receive any Public Money by Compensation, Half-Pay or otherwise.

13. If any kind of Pension or other Allowance has been commuted under the Imperial Pensions Commutation Acts, 1869 and 1871, the annual amount of Pension or Allowance so commuted and the date of Commutation should be inserted,

14. Absence, beyond ordinary Vacation leave, in each of the last 10 years:---

"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," and observations as to Special Services, Suspension, Reprimand, &c., with full particulars of any injuries received on duty, or other claims or matters for consideration.

Year. Period of Absence. Number of Days Cause of Absence. 1877 From 2/13 to 1 year, 6 months. 1878. 1879 18 18 80 17 " 22 24 Feby- 1882 19 Dear 4 months 10 days 1883 -20 July » 10 Augst. 12 1883- 26 Augst. /month, 7 days 1886 1887. 25th Feby. 1887.

19. Computation, by the Auditor General, of the Pension, &c.

I certify that the according to the Rules of the Colonial Service, amounts to and I base my Certificate on the following calculation:- which may be paid to the Applicant

15. Date of Cessation of Duty,

A 1987.

This appears Pousin. appears the a special us sales lauluit by compute the Tradnick Mewark, Acg. Auditor General

16. Date of Cessation of Salary...

17. Date from which, inclusively, Pension will commence,.........

28th February 1887

Jul 1886.

Instructions.

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