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10. Whether each of the Appointments held by the Applicant has been on the Fixed Establishments. 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.
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. Yes
12. Whether holding any other Public Appointment, or receiving or claiming to receive any Public Money by Compensation, Half-Pay or otherwise. FLO
13. If any kind of Pension or other Allowance has been commuted under the Imperial Pensions Commutation Acts, 1869 and 1871, and annual amount of Pension or Allowance so commuted and the date of Commutation should be inserted.
applicant has discharged his duties with "diligence and fidelity to the satisfaction of the Head Officers of his Department."
The Superintendent
14. Absence, beyond ordinary Vacation leave, in each of the last 10 years :--
Year From To Period of Absence Number of Days Cause of Absence 1857 1 February 31 October 9 months Leave without pay. Provided a substitute in his place. 1887 18 18 1888 18 18 1890 189 *3 71 Treasurer?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 Seventy four dollars a year and I base my Certificate on the following calculation :-
Toolab Singh joined the Police Force on the 17 February 1874, and transferred to the Gas Department on the 23d May 1881. His service therefore extends over a period of twelve years, but deducting 9 months that he was absent without leave makes his resident service only 11 years. His average salary for the last 3 years or 36 months is $231 per annum.
His quarters are valued at $50 per annum.
He is therefore entitled to a pension of $74.93 being his total emoluments of $281.
Nemitiball-Jones, Treasurer.
15. Date of Cessation of Duty, 31st March, 1891
16. Date of Cessation of Salary,
17. Date from which, inclusively, Pension will commence, 1st April, 1891.
İnstructions.
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