406
(2)
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.
private pra
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.
(3)
Statement, if the circumstances warrant it, 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," 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.
See report by the Colonial Surgeon annexed, and marked A
14. Absence, beyond ordinary Vacation leave, in each of the last 10 years :--
Year Period of Absence From To Number of Days Cause of Absence 18 18 18 Lupir 11 18 18 P3 IS A 17 21 18 14Computation, by the Auditor General, of the Pension, &c.
„30 4 187 128 Lite 3395 " Lapin 2130h
15. Date of Cessation of Duty..........
16. Date of Cessation of Salary,..
17. Date from which, inclusively, Pension will commence,.......
I certify that the according to the Rules of the Colonial Service, amounts to humour and night's and I base my Certificate on the following calculation :----
DI KALVMS which may be paid to the Applicant appointed with free free you per bun ieraud L Prof. wit alang 2. 8 The L salam dur 2 3 391.6byas Federiet Nework Instructions, stongrong, Acting