(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.
(3)
182
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, 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 auy injuries received on duty or other claims or matters for consideration.
Yes.
12. Whether holding any other Public Appointment, or receiving or claiming to receive any Public-
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, 1869 and 1871, and annual amount of Pension or Allowance so commuted:
and the date of Commutation should be inserted.
No.
Absence, beyond ordinary Vacation leave:
Dr Johnsan has discharged his duties walter. diligence and fidelity & my satisfaction
Bi Shabb
forumor
19. Computation, by the Colonial Treasurer, of the Pension, &c.
Year.
Period of Absence
Number of Days,
Cause of Absence,
1919. From 29.4.19
To 15.2.20
918 mths.
On half pay leave.
1
13
»
1
11
*
1
1
27
1
11
1
15
1
"}
F2
1
21
17
1
"
22
I certify that the
according to the Rules of the Colonial Service amounts to
and I base my Certificate on the following calculation:-
Service in the Colory
Deduct + of † pay leave
11. 1.24
4.24
10. 9.
which may be paid to the Applicant
werker Claus 17.
+
7
1345
The applicant is entitled to draw his pension at the rate of
Contribution to Widows' and Orphans' Pensions at the rate of
annum should be deducted, up to the.....
per
day of
19
inclusive.
aud the full amount of the pension should thereafter be paid.
Colonial Treasurer,
15. Date of Cessation of Duty, 4th February 1924,.................
16. Date of Cessation of Balary, 4th February, 1924.
17. Date from which, inclusively, Pension will commence,. 5th February, 1924.
7.8-Stubb
Governor, &c,
[Instructions.]