(2)
(3)
Yes.
4.
310
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 discharge-l his duties with diligence and fidelity, to the satisfaction of the Head Officer or Officers of his Department," of the Colony.
(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 inatters for consi·leration.
11. Whether the duties of the several offices or situations held since the Applicant entered the Civi Service have been such as to require that the holder should give his whole time to the Publie
Service.
Yes...
12. Whether holding any other Public Appointment, or receiving or claiming to receive any Public
Money by Compensation, Half-pay or otherwise.
e
13. If any kind of Pension or other Allowance has been commutel under the Imperial Pensions Cou mutation Acts, 1869 and 1871, and annual amount of Pension or Allowance so co‘umuted and the date of Commutation should be inserted,
eVil.
14. Absence, beyond ordinary Vacation leave, in each of the last 10 years :-
Year.
Period of Absence.
ΤΗ
1
18
From
18
18
18
18
18
18
18
25
18
16. Date of Cessation of Salary,
35
33
Nil
Number of Days.
Canse of Absence.
.30th April, 1898.
15. Date of Cessation of Duty...
17 Date from which, inclusively, Pension will commence..........
30th April, 1898
jet
1 May, 1898
$
the fos
privat
of has served under fre
and
libo yaros that Sur Armalar
From
a ferusal of previous record ilus Office, I have much pleasure
in certifying that he has discharged his duties with diligence and pidelity In Nortontsche
Registian of the Such
10. Computation, by the Colonial Treasurer, of the Pension, &c.
I certify that the Pension
Pripreme Court
which may be paid to the Applicant
according to the Rules of the Colonial Service, amounts to One thousand and
thirty six dollars and eighty cents
and I base my Certificate on the following calculation :-----
Length of Service
Add
=
Years months
31
2
سرام
36.
Pension 36/60 of $ 1728 - $1036.80. (@. 40. à Sagland),
[@ 3/8 in
An Mhoms
Acting
Treasurer
Instructions.
!