2
3
509
10. Whether each of the Appointments held by the Applicant has been on the Fixed Estab-
lishment of the Colony.
ую
0
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.
No.
18. 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.
There has fren to such commutation
14. Absence, beyond ordinary Vacation leave, in each of the last 10 years of servic;-
18. Statement, if the circumstances warrant it, that the Applicant "bas discharged his duties
BE
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
'ઢ
46
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.
Year
Period of Absence
Number of Days
Cause of Absence
!
""
18
From
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18
اوو
18
A
18
18
>>
}"
18
A
18
18
37
18
18
15. Date of Cessation of Duty
16. Date of Cessation of Salary
20
141228h 1895 4413.28.1895
17. Date from which, inclusively, Pension will commence..
th
March 10 1895.
19. Computation, by the Auditor-General, of the Pension, &c.
I certify that the
which may be paid to the Applicant
according to the Rules of the Colonial Service, amounts to
and I base my Certificate on the following calculation :---
Instructions