T

Enclosure 1.

COLONIAL PENSIONS, &C.

3793

C. G.

10010

RECY

PEGE 7 AUC 88,

PARTICULARS required to be furnished in reference to Persons recommended for Superannuation, Compensation or Compassionate Allowances, or Gratuities on retirement.

1. Name of Applicant.

(In filling up this Poper refer to the Instructions on page 4.)

Bears Be a Thomsite i

2. Ofice or Situation Barbour Master, Emigration

3. Recommended for an amus

4. Age.

mal persion

Sinthiye ve

5. Service in Years and Months2te lirm) 27 years.

6. Annual Salary or Wages

7. Caroluments/

Lalary

as

achial

off

있어요

of $284

sups of sumporder Depicts.

Total amount of Salary or Wages and Emoluments on which 85900-

Superannuation, &c., is claimed,..

8. Cause of Retirement

Length Service.

كت

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.

633

Title of Appointment. /

Date of Commence-

meut.

Date of Termination.

Salary.

Allowances, &c.

Nature of Allowances, &c.

1860

1860

beting Harbon Hack 17 Sarch 2018: 1,400

1869

Woking Harbour haster: 18 March

Harbour Master &

680

3.860

15 Sany

157

sany

Italf

Half le

Full

4. Y

& too as luft if [Gumporda ref

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