(2)
(3)
404
10. Whether each of the Appointments held by the Applicant has been on the Fixed Establishment Statement, if the circumstances warrant it, that the Applicant "has discharged his duties with
of the Colony.
Yes
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.
Ye
12. Whether holding any other Public Appointment, or receiving or claiming to receive any Public
Money by Compensation, Half-Pay or otherwise.
fo
13. If any kind of Pension or other Allowance has been commuted under the Imperial Pensions Com- mutation Acts, 1869 and 1871, and 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 :---
Year.
Period of Absence.
To
""
None
18
From
18
18
18
18
18
18
18
18
M
**
18
15. Date of Cessation of Duty,......
ور
11
Number of Days.
Cause of Absence.
& Dee21888
"diligence and fidelity, to the satisfaction of the Head Officer or Officers of his Department,” 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 fall particulars of any injuries received on duty, or other claims or matters for consideration.
maw
This
the whole of his term.
has borne u
been only
a good
of
charrester during
service and has
once under report and reduced.
from 16 to 2nd clues muze by the Luft: Govt livel Hospital, but was reinstated by ABC!
the Governor
19. Computation, by the Auditor General, of the Pension, &c.
I certify that the animal pension
according to the Rules of the Colonial Service, amounts to
and I base my Certificate on the following calculation :--
Pau Ws joined the service
1873-
Mis
services
therefore
Colomant Surgeon
which may be paid to the Applicant
on the 1 of Leptember, period
extend over as
of 15 years. This average salary for the last 36 mouths is $220 per
He is there entitled
to an annual pension of $73.33 being 20th of This average salary:
Auditor General
это
and Jerman:
1889.
16. Date of Cessation of Salary,......
دله
17. Date from which, inclusively, Pension will commence,...
1205
12ts Deer 188.
Instructions.