(2)
(3)
303
10. Whether cach of the Appointments held by the Applicant has been on the Fixed Establishment Statement, if the circumstances warrant it, that the Applicant "has discharged his duties with
of the Colony.
Yes
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.
Jes
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, 1569 and 1871, and annual amount of Pension or Allowance so commuted and the date of Commutation should be inserted.
Jil
14. Absence, beyond ordinary Vacation leave:-
Year.
Cause of Absence.
With Bys
187/ 71 1876.
18 7/ ...
18
1900.
Period of Absence.
Froin 1442 aug to 18th oct 2
14th Oct. 5th Mowige HR0
„2 Bepts, 16th afton of1⁄2
18
18
IS
18
18
13
» 22th afl „Ze Mar
10 17
;
"3
QA
15. Date of Cessation of Duty, Oeptember 1960
Transferred to day
ot
Service the 1900 5.6. Lett. 39252/1900
“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 Specia] Services, Suspension, Reprimand, &c., with full particulars of any injuries received on duty, or other claims or matters for consideration,
W
I certify that I'm R. 7-Danny dichanged miduties with diligence and
and fidelif to the
Sater faction of the Head Officer que Department.
Director & Public Works
19. Computation, by the Colonial Treasurer, of the Pension. &c.
I certify that the
Jeusion
according to the Rules of the Colonial Service, amounts to
and I base my Certificate on the following calculation :----
Length of service- Kess 1/2 of 1/2 pay-
16
by
which may be paid to the Applicant
Eight hundred dollar
pars mouths
12
//
Add.
.5
16.
00
Jeusion too of $3,000. = $800.
Am Momsor
Treasures.
7
13. Date of Cessation of Salary....
Lev.
17. Date from which, inclusively, Pension will commence,..t Deptember 1900
Instructions.