(2)

(3)

103

Yes.

#

{

**

10. Whether each of the Appointments held by the Applicant has been on the Fixed Establishment 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, &c., with full particulars of any injuries received on duty, or other claims or matters for consi·leration.

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 Appointinent, or receiving or claiming to receive any Public

Money by Compensation, Half-pay or otherwise.

13. If

No.

any

kind of Pension or other Allowance has been commuted under the Imperial Pensions Com- mutation Acts, 1869 and 1871, and annual amount of Pension or Allowance so commuted and

the date of Commutation should be inserted.

I hereby certify that to the best of my belief Mr.

Wodehouse has discharged his duties with diligence and fidelity

to the satisfaction of the Government.

Mach

Major-General,

Administering the Government.

Nil.

19. Computation, by the Colonial Treasurer, of the Pension, &c.

14. Absence, beyond ordinary Vacation leave, in each of the last 10 years :-

Year.

Period of Absence.

Number of Dags.

Y. M. D.

Cause of Absence.

Pension

I certify that the according to the Rules of the Colonial Service, amounts to

which may

$4,420

be paid to the Applicant

1873

From 18 August To 15 Febry/75 1

3 0

and I base my Certificate on the following calculation :-

1880

21 October

5 May/81

3

14

܂

1884

-

1 August

7-Decr/84

4

17

Total Service

Flare

31.

**D

1891

11 July

"1

12 March/92

8

2

18

896

15 February 15 April/97

31

2

1

18

}}

13

18

Dedust if 1⁄2 of _taly Pay leave

E

19

29.

2.3

add

34.

23

3

31

18

34

+1

18

او

"

18

Total

4

2 24

??

*

20 of $7,800 = $44207 D 3/8.

Anchouson Acting Treasure ; .

15. Date of Cessation of Duty,.

16. Date of Cessation of Salary,

17 Date from which, inclusively, Pension will commence,...

25th. July, 1898.

25th, July, 1898.

26 tb. July, 1898.

Instructions.

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