439

10. Whether cach of the Appointments held by the Applicant has been on the Fixed Establishme

of the Colony.

N

1)

11. Whether the duties of the several offices or situations held since the Applicant entered the Evi. Service have been such as to require that the holder should give his whole time to the Public

Service.

Yea

12. Whether holding any other Public Appointment, or receiving or claiming to receive

Money by Compensation, Half-Pay or otherwise.

any

Public

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.

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,

None.

The applicant has always fulfilled) his duties to the best of his abilit of but latterly owing

to old a

age he has become almost useless and incapable).

Alpeal Woni Aubing

Register

15. Date of Cessation of Duty, March 31 18.89.

16. Date of Cessation of Salary, March 31. 1889.

17. 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 su

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