(4)

Instructions referred to on page

If this Paper of Particulars and the Certifientes connected with it, be not sent in original, the coples must be duly attested.

Statement.

Total service in the

389

Colorry, from 16th Febry. mouths 1892 to 28th Febry. 1875

days.

36

13

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 Coust. (Colonial Regulations, § 430.)

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 break, the word "broken" should be added before or after the number of years and mouths, and the causes, dates and circumstances of the break or breaks should be stated under heading 9.

Head 6.--If the persou retiring has been in receipt of the same-Salary, or in the class from which he retires, for the 36 mouths immediately before the date of his retirement, the actual nunmal rate of Salary or Wages at that date should be inserted, preceded by the word "actual." In other eases the average annual amount of Salary or Wages for the 36 months next preceding the date of retirement should be inserted, proceded 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 Value, for the 36 montas immediately preceding retirement, of cael Emolument (exclusive of salary or wages) which is claimed to be included in the calenlation of the Pousion 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 Pension 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 annual average of the net receipts of the 36 months next preceding the Officer's retirement. Those not receipts are to be ascertained by deducting from the gross amount of Fees such Office Expensos, &c., as an 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 Expetuses provided from Public Funds, for the dne discharge of those duties to which a Fixed Salary is annexed. Papers of "Particulars" when 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 three years immediately 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 Fens will not in ordinary circumstances be allowed to count for Pension pur- than and case bo to for Pension purposes during any period in which the whole time of the Officer receiving thom was not given to the Public Service.

Half pay leave,

pay whilst on) 16th Febry. 92 to 112 March/92.

1th Sept. 94 to 28th Febry 195.

voyage

Total 1/2 pay leave

Total Service as above

Deduct 1/2 of 1/2 pay leave

Total Service for dension

24

6

24

36

13

15

!

މ

Jension 33

Pension payable on above under clause 15, Sect. 2 of Pension Minute as follows:-

1/720 for each month of service of annual salary at date of retirement (annual sa. lary = $9.720)

$445.50

poses to the extent of spore tisti ono quarter of the Salaries, nel Feed wild not in any ense low allowed on compt the clause 15 kct. [

216) approved by

Head 8.--In cases of infirmity, if the Applicant is below the ordinary age for rotirement, a Modical 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 permanent.

In case of ten years' service or more, this Certifiente should he signed by two Officers, of whom at least one should,

if possible, be a Saluried Officer of the Government,

Head 9.-As to "broken" service, see Head 5.

If the Applicant has 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 praeties" wilbout

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.

overnor in Council

33/7200 $9720

Add 2/3 of service in the Colony = 2/3 of 33

marthe

<

22 months

22/720 of 89720 = $297.0.

Total Pension awardable,

##

D

$742.50

Iension payable at 3/8 to the dollar.

Mlwarthockhart

Colonial Secretary.

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