CO885-(16-18) — Page 84

1.

43

APPENDIX.

4. (Par. 122.)

I HEREBY Certify, that with the advice and consent

of the Executive Council of Government, I have granted to

leave of absence.

months'

Signed

Governor.

I hereby Certify, that.

received Full Salary at the rate of £

has

per Annum as

up to the.

Signed

Colonial Treasurer.

NOTE-Officers proveeding on leave of absence are requested to -observe that they will not be able to receive Half Salary in England

unless this Certificate is duly filled up and signed.

I HEREBY Certify,

1st. That the above leave was granted to commence on

the

of

of

and end on the

on the ground of

[Ill-health, and that the Medical Certificate was produced, of which a copy is annexed.]

[Urgent private affairs.]

2nd. That A. B. has been in the service of the Colony

for....

-years.

3rd. That in the course of that Service he has been

absent on leave on several occasions at the dates and for the terms specified below, viz. :-

1st. For_____

2nd.

months beginning on and ending on.

3rd.

4th. That provision has been made for the duo execu- tion of A. B.'s office during his absence by

1. Total Service from date of arrival in the

colony to date of certificate.

2. Deduc total Absences since arrival (other than vacation leave) whether with or without Half salary. -

3 Period of Resident Service

Maximum amount of leave authorised by Regulations in respect of the above period of Pesident Service (viz., one-sixth of Resident Service plus Six Months).

5 Leave on Half salary already taken ...

6. Leave now granted

Years. Months,

Governor.

NUTE. Officers who may be under the necessity of applying to the Secretary of State for an extension of their leave of absence are requested to annex this document to their applications, and in order to meet this contingency, it will be furnished to them in duplicate.

1

וחסרור

RECORD OFFICE

Reference :-

TELEC.O.

سساسس

+885

17 PUBLIC RECORD OFFICE, LONDON

ALLY WITHOUT PERMISSION OF THE BE REPRODUCED PHOTOGRAPHIC- COPYRIGHT PHOTOGRAPH—NOT TO

43

APPENDIX.

4. (Par. 122.)

Certify, that with the advice and consent ecutive Council of Government, I have

ence.

Signed

months'

Governor.

Certify, that.

Il Salary at the rate of £

has

88

up to the.

Signed

Colonial Treasurer,

sers proceeding on leave of absence are requested to ley will not be able to receive Half Salary in England tificate is duly filled up and signed.

? Certify,

e above leave was granted to commence on

of

of

and end on the

..ou the ground of

ealth, and that the Medical Certificate was iced, of which a copy is annexed.]

[Urgent private affairs.]

L. B. has been in the service of the Colony

years.

n the course of that Service he has been

t on leave on several occasions at the dates

or the terms specified below, viz. :—

. For.

months beginning on.

and ending on.

1.

1.

ovision has been made for the due execu-

of A. B.'s office during his absence by

Years. Months,

ice from date of arrival in the

o date of certificate.

al Absences since arrival (other cation leave) whether with or

Ilalf salary.

Lesident Service

+

amount of leave authorised by ions in respect of the above period dent Service (viz., one-sixth of

Service plus Six Months).

lalf salary already taken...

granted

Governor.

ers who may be under the necessity of applying to of State for an extension of their leave of absence o annex this document to their applications, and in this contingency, it will be furnished to them in

1

PUBLIC RECORD OFFICE

'' य 'ग

سيا

Reference :-

C.O.885

COPYRIGHT

17 PUBLIC RECORD OFFICE, LONDON

ALLY WITHOUT PERMISSION OF THE BE REPRODUCED PHOTOGRAPHIC-

PHOTOGRAPH—NOT TO

1