(2)

shpent

10. Whether cach of the Appointments held by the Applicant has been on the Fixed Establish- of the Colony.

Yes.

.39.

30 BUL

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 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 Commutation Acts, 1869 and 1871, and annual amount of Pension or Allowance so commuted and the date of Commutation should be inserted.

14. Absence, beyond ordinary Vacation leave:-

No.

(3)

Statement, if the circumstances warrant it, that the Applicant "has discharged 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 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.

"

80

Year.

Period of Absence.

18

From 26.2.91 Toto. 3.92

18

15.2

::

18

"

18

K

18

11

18

15

18

ور

18

18

18

*?

25

15. Date of Cessation of Duty..

16. Date of Cessation of Salary.

Number of Days.

Cause of Absence.

Yr. Mos. Days

11120

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

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

I certify that the Pension

which may be paid to the Applicant/

according to the Rules of the Colonial Service, amounts to Dollars Three t

and twenty-four per

and I base my Certificate on the following calculation

Service. 1/2 of 1/2 pay.

leave

2 yrs.

rd. 3 mos.

6o

کجھ گئے

Difference 1 yr 9 mos.

Add for service in tropics 1 x 5 yrs.

Total service for pension

Under Clause 15, 1.

720

X

/ 24 × $9,720 Rate of Exchange 3/8

30

=

3/2

Amun.

2 yrs //1⁄2 mo.

6. 24/2 mos.

=

$324 per

any

addition on

Tomson

Instructions.

casurer.

1.191.

This does not include

account of professional qualifications)

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