(2)

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

of the Colony.

Thes.

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 Pablic Appointment, or receiving or claiming to receive any Public

Money by Compensation, Half-pay or otherwise.

Ao.

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 Conmutation should be inserted.

(3)

18. 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, togther 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 this 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.

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

14. Absence, beyond ordinary Vacation leave:--

None.

I certify that the

pension

which may be paid to the Applicant

according to the Rules of the Colonial Service, amounts to $3,/20%

Year.

Period of Absonee

Number of Days.

Cause of Absence.

and I base myCertificate on the following calculation:- ཡ་

وو

1897.

190d..

1908..

From

29th August 1856

Juiz

7th January

years.

months.

To 24-11-1568,

15:31904

*5-3

245-

Service,

22.

J-.

danys. 19.

Allowana

for

climat,

37

18-8-1908.

Italf pay leave.

19/...

8th July

"

13.12.198.

18-9

1

}

5

1

1

"

1

35

1

53

25

beduct half of half pay bave,

Pension 2 of $4,200 = $3,/20 D-

The applicant is entitled to draw his pension at the rate of 3/8 25 2·0·0·

Contribution to Widows' and Orphans' Pensions at the rate of $124%22:17:7...per becember, 1925′′, inclusive, annum should be deducted, up to the 3/2

day of....

and the full amount of the pension should thereafter be paid.

Afletcher

Colonial Treasurer

27.

26.

e

10.

22.

i

15. Date of Cessation of Duty... 18th April 1913.

16. Date of Cessation of Salary,...th lifire 1913.

17. Date from which, inclusively, Peision will commence, ... th April, 1913.

Amaz

Governor, &c.

[Instructions

73

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