(2)
(3)
337
10 Whether each of the Appointments held by the Applicant has been on the Fixed Establishment is. Statement, if the circumstances warrant it, that the Applicant "has discharged his duties with
of the Colony,
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 Pul
Service.
efer.
12. Whether holding any other Public Appointment, or receiving or claiming to receive any Public
Money by Compensation, Half-pay or otherwise.
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 l'ension or Allowance so commuted
and the date of Commulation should be inserted,
11. Absence, beyond ordinary Vacation leave :--
Year.
No.
"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 "snch 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 consideration.
8. A. W. Brewin has discharged
his duties with diligence and fidelity to muy satisfaction.
19. Computation, by the Colonial Treasurer, of the Pension, &c.
I certify that the
Number of Day:
Cause of Absence.
Reusion
Amay Glovernor, 70.
which may be paid to the Applicant
according to the Rules of the Colonial Service, amounts to
and I base my Certificate on the following calculation
$3,24000
Period of Absence
1894
From 74 July
1904
1.908
18th August 1974 June
1912
27 March
}
1
1
1
3
1
V16 December & exputer and
7 days.
.. 10th November 1 pear, 2 month
1908. and 27 days.
7th April, 1909.9 months and
20 days.
28. november & morethis.
M
::
Half pay leave.
15. Date of Cessation of Duty, 28th November, 1912.
16. Date of Cessation of Salary, 28th November, 1912.
29th 1912.
17. Date from which, inducively, Pension will commence, November,.
Length of Service
less its of 1/1⁄2 bay Balance
thears Benth day 24 6
28 22
22
add
Total
27
22
Pension 2 of $72000 = $32402@/ -
The applicant is entitled to draw his pension at the rate of
Contribution to Widows and Orphans' Pensions at the rate of ..
aumu should be deducted.
£594.0.
Shunsur
Colonial Treasurer.
per
Анамд
Clovernor, To.
[Instructions