(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.
Enclosure 2.
COLONIAL PENSIONS, &c.
348
20482
PARTICULARS required to be furnished in reference to Persons recommended for Superannuation,
Compensation or Compassionate Allowances, or Gratuities on retirement. SEP 3
(In filling up this Paper refer to the Instructions on page 4.)
1. Name of Applicant. Chai Than
200m or Someron. Third Clerk, Magistracy
2. Office Situation.
3. Recommended for
4. Age.
Thirty
Pension
- seven years
Head of Paper.-In the case of an Officer serving on the West Coast of Africa, a statement is to be added whether
a native of that Coast. (Colonial Regulations, § 430.) Head 3.-State the deseription of Allowance for which the Application is recommended, viz., Superannuation, Compensat Compassionate Allowance, or Gratuity, and its amount. In the case of Persons claiming an addition to their Pens in respect of Professional or other special qualifications, this should be stated, and a reference should be given to: 5. Service in Years and Months. 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: 6. Annual Salary or Wages...
number of years and months, and the causes, dates, and circumstances of the break or breaks should be stated u 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 7. Emoluments_
mouths immediately before the date of his retirement, the actual annual rate of Salary or Wages at that date should inserted, preceded by the word "aetual” In other cases the average annual amount of Salary or Wages for the months next preceding the date of retirement should be inserted, preceded by the word average," but if the w 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 mouths immediately precoë retirement, of each Emolument (exclusive of salary or wages) which is claimed to be included in the calculation! the Peusion or Gratuity.
12 years
of $235.92
and W
days
$
83266
Total amount of Salary or Wages and Emoluments on which
pension - Superannuation, &c., is chained,
Permitted to resign
8. Cause of Retirement
} $832.66
Whenever the value of a House or House Allowance, so ascertained, exceeds oue-sixth of the salary and c emoluments which count for Pension purposes, it is to be reduced to one-sixth of that amount, so that it shall 9. Dates of Commencement and Termination of the several Appointments held by Applicant, with their
Emoluments, distinguishing Salary from other Allowances and specifying such Allowances.
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, T regular salary, at the annual average of the net receipts of the 36 months next preceding the Officer's retirem These not receipts are to be ascertained by deducting from the gross amount of Fees such Office Expenses, & an Officer may have had to defray from his own resources, in performing the services for which he was remunerated Fees. No deduction, however, from the Fees should be made in respect of Office Expenses provided from P Funds, for the duc discharge of those duties to which a Fixed Salary is annexed. Papers of " Particulars" w forwarded to the Colonial Department should be accompanied formal Declarations from the retiring Officers, showi the amount received by them for Fees, and the amount defrayed as above for Office Expenses, &c.. in each of the th years immediately preceding the retirement. It will be the duty of the Colonial Governments concerned to sale themselves of the accuracy of such statements before forwarding them to the Colonial Office. In the case of Oli receiving Fixed Salaries and Fees, the Fees will not in ordinary circumstances be allowed to count for Pension P poses to the extent of more than one quarter of the Salaries, and Fees will not in any case be allowed to counti" Pension purposes during any period in which the whole time of the Officer receiving them was not given to the Put Service,
Head 8.-In cases of infirmity, if the Applicant is below the ordinary age for retirement, a Medical Certificate is wi furnished showing that he is disqualified by infirmity of mind or body for discharging the duties of his situation, * that such infirmity is likely to be permanent.
Title of Appointinent.
sher and Process Server, Magistracy Usher and Process.
Server.
Magistracy 1. Clerk to Fire Brigade.
In case of ten years' service or more, this Certificate should be signed by two Officers, of whom at least one sho if possible, be a Salaried 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 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" wit
forfeiting his claim to Peusion, 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, |
facts should be fully stated.
#
Third Clerk, Magistrany
Head 19.--The length of service and other particulars of the computation are to be given. When an average of Salk
&c., is taken, the mode of calculating it (whether by montlis, &c.) is to be explained.
Date of Commence-
inent.
Date of Termination,
Nature
Annual Satury.
Allowances, &c.
of Allowances,
Ee.
20.10.85 31.12.90 $480
1.1.91 30.9.95 $576 1.2. 88 31.12.90 $204 1. 1. 91 31.5.95 $240 1.10.95 31.10.97 $840.