(4)
Instructions referred to on page 1.
If this Paper of Particulars and the Certificates connected with it, be not sent in original, the copies must be duly attested.
}
TEMENT of all half-pay leave, and of vacation leave taken in conjunction with half-pay leave, between
January, 1876, and December, 1886, enjoyed by Mr.RevEW.
ring his service in Hongkong.
eve. W. Jennings.
205
Period of leave.
Vacation leave taken in conjunction with half-pay leave.
Leave on half-pay.
Y M. dy W.
Total.
d. Y ll. d
Head of Paper-In the case of an Officer serving on the West Coast of Africa, a statement is to be added whether he is"
a native of that Coast. (Colonial Regulations, § 480.)
Head 3.-State the description of Allowance for which the Application is recommended, viz., Superannuation, Compensation, Compassionate Allowance, or Gratuity, and its amount. In the case of Persons claiming an addition to their Pensions in respect of Professional or other special qualifications, this should be stated, and a reference should be given to the authority under which the claim is made.
Head 5.-If the service has been interrupted by one or more breaks, the word "broken" should be added before or after the number of years and months, and the causes, dates, and circumstances of the break or breaks should be stated under heading 9.
Head 6-If the person retiring has been in receipt of the same Salary, or in the class from which he retires, for the 30 months immediately before the date of his retirement, the actual annual rate of Salary or Wages at that date should be inserted, preceded by the word "actual" In other cases the average annual amount of Salary or Wages for the 38 months next preceding the date of retirement should be inserted, preceded by the word "average," but if the whole period of service is less than three years, then the average for the whole period of service should be inserted. Head 7.-A separate statement should be inserted of the average Annual Valce, for the 36 months immediately preceding retirement, of each Emolument (exclusive of salary or wages) which is claimed to be included in the calculation of the Pension or Gratuity.
Whenever the value of a House or House Allowance, so ascertained, exceeds one-sixth of the salary and other emoluments which count for Peusion purposes, it is to be reduced to one-sixth of that amount, so that it shall not exceed one-seventh of the whole.
Fees which an Officer is allowed to retain for his own use will be taken into account for Pension purposes, with regular salary, at the anual average of the net receipts of the 36 mouths next preceding the Officer's retirement. These net receipts are to be ascertained by deducting from the gross amount of Fees such Ofice Expenses, &c., as au Officer may have had to defray from his own resources, in performing the services for which he was remunerated by Fees. No deduction, however, from the Fees should be made in respect of Office Expenses provided from Public Funds, for the due discharge of those duties to which a Fixed Salary is annexed. Papers of Particulars" whea forwarded to the Colonial Department should be accompanied by formal Declarations from the retiring Officers, showing the amount received by them for Fees, and the amount defrayed as above for Office Expenses, &c., in each of the thres years inmediately preceding the retirement. It will be the duty of the Colonial Governments concerned to satisfy themselves of the accuracy of such statements before forwarding them to the Colonial Office. In the case of Officers receiving Fixed Salaries and Fees, the Fees will not in ordinary circumstances be allowed to count for Pension pur- poses to the extent of more than one quarter of the Salaries, and Fees will not in any case be allowed to const for Pension purposes during any period in which the whole time of the Officer receiving them was not given to the Public
Service.
Head 8.--In cases of infirmity, if the Applicant is below the ordinary age for retirement, a Medical Certificate is to be furnished showing that he is disqualified by infirmity of mind or body for discharging the duties of his situation, and that such infirmity is likely to be permauent.
In case of ten years' service or more, this Certificate should be signed by two Officers, of whom at least one should,
if possible, be a Salaried Officer of the Government.
Head 9.-As to "broken" service, see Head 5.
If the Applicant hus had any "acting" service, the details must be fully given, with a statement whether or not, during the "acting" service, he was connected with the permanent Civil Service of the Colony.
Head 11-If, in special circumstances, a professional Civil Officer has been allowed to have "private practice" without
forfeiting his claim to Pension, the facts are to be fully stated.
Head 14.-If the Applicant is liable to any deduction from his service under Clause 102 of the Colonial Regulations, the
facts should be fully stated.
Head 19.—The length of service and other particulars of the computation are to be given. When an average of Salary,
&c., is taken, the mode of calculating it (whether by months, &c.) is to be explained.
14 Period.
March 1886 to 314 1 ext. 1886
2th Carion
"
Jany 1887 to 19 Sept 1887.
9.8
8. 19.
12 June 1891
7
2nd Sept. 1890 to 214 June
க
of 7 Years 1 26. days, Say
9.815.19
om 5 Dec? 1879 to 31th Decr1886 # 2, 4
herefore to deduction on
fcount-
of the Period leave
alf time to be deducted
ns Perios leave
8.17