(2)

10. Whether each of the Appointments held by the Applicant has been on the Fixed Establishment

of the Colony.

Wes.

11. Whether the duties of the several uffices 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

13. If 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 coʻnmuted and the date of Commutation should be inserted.

No.

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

Year.

18

From

18

18

i

18

18

*

18

>>

18

18

18

18

Period of Absenco.

15. Date of Cessation of Duty,..

To

"

34

35

27

*

Number of Days.

Cause of Absence.

(

( * )

403

413

18. Statement, if the circumstances warrant it, that the Applicant has discharge his duties 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 exbibit 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 consideration.

The applicant has discharged his duties with diligenes and fidelity to the satisfaction of the Director of Public Works, since the date "Bebruary, 1879.

appointment,

of

Director

of

Public Works

31.

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

I certify that the

Gratuity

according to the Rules of the Colonial Service, amounts to

and twenty five cents

and I base my Certificate on the following calculation :---

Service

Add

which may be paid to the Applicant

Vincty six dollars

y 19 year 4 months.

24

=

24. of $96.25 $38.50

1/2-19 25

Commuted at 5

years

+

$96.25

Gratuity

Acting Treasurer.

16. Date of Cessation of Salary,

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

31 st August, 1898.

31th August, 1898

Instructions.

Page 420Page 421

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