233
(2)
10. Whether each of the Appointments held by the Applicant has been on the Fixed Establishment
of the Colony.
fet
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 Publio
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, 1809 and 1871, and annual amount of Pension or Allowance so commutel
and the date of Commutation should be inserted.
No.
14. Absence, beyond ordinary Vacation leave:-
(3)
18. Statement, if the circumstances warrant it, that the Applicant "bas 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 Cfficers, 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, Repr'mand, &c, with full particulars of any injuries received on duty or other claims or matters for consideration.
19. Computation, by the Colonial Treasurer, of the Pensiou, &c.
Year.
Period of Absence
Number of Days.
Cause of Absence.
1854. From 24 July
To oct
1888
27 April
N
31 Joxe
99 249
On half-pay leave
I certify that the according to the Rules of the Colonial Service amounts to and I base my Certificate on the following calculation:- -
which may
be paid to the Applicant
18.89
1892
1 January 429 July
18 Mar.
77
.8 Oct
72
1895
2:
1896
1896
*
6 July 1 January July
31020
189.6.
53
1
}}
1
}}
ingat 217
15 Auguer 30 NOV.
15. Date of Cessation of Duty, 30. //.
16. Date of Cessation of Salary,
་
8
1896
# 1896
(Drausferred to House
Cint Sawice er
americe whe
Prison Beurce 1.12.96
179
118
・on leave without
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......
per
19
. inclusive,
and the full amount of the pension should thereafter be paid.
Colonial Treasurer,
Governor, ģe,
17 Date from which, inclusively. Pension will commence,i
[Instructions.]
FT
: