280

(2)

(3)

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 :—

Year Period of Absence Number of Days Cause of Absence 1892 1883 From 18.04 to 18 23 17 19 18 06 18 87 18 86 18 09 +++ ور 5% وار 95 24 foth Door * 18 Ja 18 3. 9th May 1897 25

15. Date of Cessation of Duty.

16. Date of Cessation of Salary.

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

"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.

M2. Ma Load has discharged his duties with diligence and fidelity during the time (about five years) I have had charge of the Public Works Department of this Colony. I believe that my predecessors also had a high opinion of his services.

S. Brown Surveyor General.

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

I certify that the annual pension according to the Rules of the Colonial Service, amounts to eighty dollars.

and I base my Certificate on the following calculation :-

which may be paid to the Applicant five hundred and

mr mnohood entered the service on the 29th October, 1866, and retired on the 28th October 1880 on the completion of his 15 years service, on a pension of $4108 85

Saving regained his health and strength, returned to the Colony, and was re-employed on the 8th December 1889, at his former rate of pay, viz: $100 per month, without free quarters up to the present time.

He was absent on half pay for 2 months, from 10th December 1889 to 91 May 1890, (counting as 2/2 months service). His pensionable service will count as 15 years from 29th October 1865 to 28th October 1880, and 9 years from 8th December 1882 to 28th February 1891, deducting 2/1⁄2 months leave on half pay

being 787%

He will be entitled to a pension of $380 for annums, 29/60 of $1,200

Instructions.

Share This Page