(2)
(5)
313
C
Yes
10. Whether each of the Appointments held by the Applicant has been on the Fixel Establish 18. Statement, if the circumstances warrant it, that the Applicant "has discharged his duties with
of the Colony.
«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, &e., with full particulars of any injuries received on duty, or other claims or matters for consideration.
11. Whether the duties of the several offices or situations held since the Applicant entered the i Service have been such as to require that the holder should give his whole time to the P
Service.
Yes
12. Whether holding any other Public Appointment, or receiving or claiming to receive
Money by Compensation, Half-pay or otherwise.
No
any
P
13. If any kind of Pension or other Allowance has been commuted under the Imperial Pensi Commutation Acts, 1869 and 1871, and annual amount of Pension or Allowance so comming and the date of Commutation should be inserted.
No
14. Absence, beyond ordinary Vacation leave:—
Year.
18
From
18
18
18
18
18
အ
18
18
Period of Absence.
Number of Days.
Cause of Absence,
To
3"
ཏཱཝཱ
Nil
I Certify
Certify that James Hodge
has discharged his duties with diligence
to the satisfaction of his Department.
and fidelity to Ssead
of
the
Thomson
Acty. Superintendent
Victoria Gave
19. Computation, by the Colonial Secretary, of the Pension, &c.
I certify that the person which may be paid to the Applicant according to the Rules of the Colonial Service, amounts to
tundred
Dollars Four
and Ninety only
and 1 base my Certificate on the following calculation :-
Aaa
16
18
૪
18
15. Date of Cessation of Duty, $3.0 ** November 1895
4 November 1895-
16. Date of Cessation of Salary,
30
17. Date from which, inclusively, Pension will commence,.........
jeh Decor
Lt..
21/60
of
2.1
4
11400
490.
Millwarthockart
Colonial Secretory
Instructions.