8. Cause of Retirement, [with annexed Medical Certificate, if from infirmity of mind or body, and under 60.1
Failure of health. Copy of Medical Certificate certified
and attached.
9. Dates of Commencement and Termination of the several Appointments held by Applicant, with their Emoluments, distinguishing Salary from other Allowances, and specifying such Allowances. (See note & on page 1.)
ntinenta.
Appoin
bonghang) :
Fost Of
Commer
menced Terminated Salarice Acting Deputy Registrar of the Supreme Court Sellarch 1857 31 May 1854 € 178. Service pores broken by its monthe service in Wo
on salary drawn from Imperial functs. Acting Auditor General Assistant Postmaster General) Postmaster General' Acting Police Magistrate Collector of Stamp Revenue
Office 30 March 1860 20 Sept: 1861 £150. / May 1860 24 Nov:1862 £500. 24 Nov: 1862 31 March 1875-
€800% 13 July 1867 9 Sent: 1867
£400. 110 abril 1872 14 June 1874 £400. 17.
Scht:
186711 April 1872
£200. 14 June 1874 31 March 1875 £200. * Increment to £900 from March Te
10. If the date of Appointment is subsequent to 19th April, 1859, state whether the situation
is held directly from the Crown, or with a Certificate from the Civil Service Commissioners,
or under Clause 4 of the Superannuation Act of 1859.
18. If any kind of pension or other allowance has been commuted under the Pensions Com- mutation Acts, 1869, and 1871, the annual amount of Pension or Allowance so commuted and the date of Commutation should be inserted.
None
Other cause
14. Absences during each of the last 10
None
years
YEAR
NO. OF DAYS.
Illness
during the whole period of service
18
18
15. Date of Cessation of Duty
18
31th March 1875.
18
18
16. Date of Cessation of Salary
3105 March 1875
18
18
18
18
18
First
appointment under Colonial Gor in March 185-7.
ove
arment
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.
De
And
and
and
through the night
frequently through Sunday .
12. Whether holding any other Public Appointment, or receiving or claiming to receive any,
Public Money by Compensation, Half Pay or otherwise.
tension
or
£100 per annum
00
17. Statement in terms of sec. viii of the Superannuation Act, of 1859, 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 "gervices of the Person recommended, embracing as long a period of his public service as "can be authentically stated," together with observations as to Special Services, Suspension, Reprimand, &c., with full particulars of any injuries received on duty, or other clains or matters for consideration.
"Mr. Mitchell has discharged the duties of his Office wirk diligence and
fidelity
of the Executions.
Postmaster estafaction of the
Offic
General received from the Imperial Pool Of
in London less Income Jake.
e. In the case of persons included in the definition of the term "Officer" in the 2nd Section of the Act 29 and
30 Vic., cap. 68, heading No. 10 should be read as if the date 6th August, 1866, were substituted for 19th April. 1859; in the case of Officers of the Courts of Chancery and Bankruptcy, Ireland, it should be read as if the date 20th August, 1867, were substituted for 19th April, 1850.
Я
and to the entire
aremuor":
212
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