139
(2)
10. Whether each of the Appointments held by the Applicant has been on the Fixed Establishment
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
Yes
12. Whether holding any other Public Appointment, or receiving or claiming to receive
Money by Compensation, Half-pay or otherwise.
гро
any Public
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 commutel and the date of Commutation should be inserted,
(3)
18. Statement, if the circumstances warrant it, that the Applicant "has discharged his duties w
"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, &c., with full particulars of any injuries received on duty, or other claims or matters for consideration.
Mr. Matt.
Public work6,
28110113,
Devector
of
No.
14 Absence, beyond ordinary Vacation leave :---
Year.
Period of Absence.
Number of Days.
Cause of Absence.
1894 Fromgth MorchTM: 9th Oct 15, wourt's Half pay leave
37
1
1
13
29
1
++
**
1
1
1
"
12
4
I
**
12
1
1
1
15. of of
"
وو
Date of Covation of Duty, 7.:.5...1897. Kransferred to leyton.
16. Date of Cessation of Salary, 10 - August 1913 in Ceylon
#
17. Date from which, inclusively, Pension will commence, !!... August 1913
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 #1230-25~ and I base my Certificate on the following calculation:- Mouths days
Sital length of Service 115
L
Less 1⁄2 of Laef pay leave
133 of 86660
22
720
J 15
110 2.
=81230.25-
133
Add for tropical alliwackx 22-26
The applicant is entitled to draw his pension at the rate of 3/8
Contribution to Widows' and Orphans' Pensions at the rate of annum should be deducted, up to the...........................................day of .............................. 19. and the full amount of the pension should thereafter be paid.
Clandsevern
Officer Administering the Government.
25-10-11
.per
. inclusive,
In retchle
Colonial Treasurer.
[Instructions]