141

(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 beld 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,

(3)

8. 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.

13. If

Yes

kind of Pension or other Allowange has been commuted under the Imperial Pensions any Commutation Acts, 1869 and 1871, and annual amount of Pension or Allowance so commuted

and the date of Commutation should be inserted.

Но

11 Absence, beyond ordinary Vacation leave:—

Year.

Period of Absence.

Number of Days.

Cause of Absence.

1894. From 9th March Tugitool I won'ts Half pay leave

"

13

12

"

31

1

1

1

1

29

1

1

1

>

1

کو

7: 5. 1897. Lauaferred to

beylon.

33

"

15. Date of Cessation of Duty, 7:

16. Date of Cessation of Salary, 10th August 1.9.13 cm. Ceylon

17. Date from which, inclusively, Pension will commence, ...... August 1913

Wheth.

Public works, 98.10.13

Director of

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

I certify that the

حدود

puesion

which may be paid to the Applicant

according to the Rules of the Colonial Service, amounts to $1250-25- and I base my Certificate on the following calculation outhe days

Total leught of Service Less 1⁄2 of Lalf pay leave Add for tropical all nave

133

113 75 7204f bel

110

મારા જારી

23 76 -$1230.75 3/8 = £223-10-11

22 133-

The applicant is entitled to draw his pension at the rate of

Contribution to Widows' and Orphans' Pensions at the rate of

..day of.. annum should be deducted, up to the... and the full amount of the pension should thereafter be paid.

Claudtever

*four Administering the Gavarnment.

19

· per

inclusive, Fletcher

Colonial Treasurer.

[Instructions]

Share This Page