(4)
Instructions referred to on page 1.
If this Paper of Particulars and the Certificates connected with it, be not sent in original, the copies must be duly attested.
Head of Paper-In the case of an Officer serving on the West Coast of Africa, a statement is to be added whether he is a native of that Coast. (Colonial Regulations, § 430).
Head 3.-State the description of Allowance for which the Application is recommended, viz., Superannuation, Compensation, Compassionate Allowance, or Gratuity, and its amount. In the case of Persons claiming an addition to the Pension in respect of Professional or other special qualifications, this should be stated, and a reference should be given to the authority under which the claim is made.
Head 5.-If the service has been interrupted by one or more breaks, the word "broken" should be added before or after the number of years and months, and the causes, dates, and circumstances of the break or breaks should be stated under heading 9.
Head 6.--If the person retiring has been in receipt of the same Salary, or in the class from which he retires, for the three months immediately before the date of his retirement, the actual annual rate of Salary or Wages at that date should be inserted, preceded by the word "actual." In other cases the average annual amount of Salary or Wages for the three months next preceding the date of retirement should be inserted, preceded by the word "average," but if the whole period of service is less than three years, then the average for the whole period of service should be inserted.
Head 7--A separate statement should be inserted of the average Annual Value, for the 30 months immediately preceding retirement, of each Emolument (exclusive of salary or wages) which is claimed to be included in the calculation of the Pension or Gratuity.
Whenever the value of a House or House Allowance, so ascertained, exceeds one-sixth of the salary and other emoluments which count for Pension purposes, it is to be reduced to one-sixth of that amount, so that it shall not exceed one-seventh of the whole.
Fees which an Officer is allowed to retain for his own use will be taken into account for Pension purposes, at the annual average of the net receipts of the 36 months next preceding the Officer's retirement. These net receipts are to be ascertained by deducting from the gross amount of Fees such Office Expenses, &c. as an Officer may have had to defray from his own resources, in performing the services for which he was remunerated by Fees. No deduction, however, from the Fees should be made in respect of Office Expenses provided from Public Funds, for the due discharge of those duties to which a Fixed Salary is annexed. Papers of "Particulars" when forwarded to the Colonial Department should be accompanied by formal Declarations from the retiring Officers, showing the amount received by them for Fees, and the amount defrayed as above for Office Expenses, &c., in each of the three years immediately preceding the retirement. It will be the duty of the Colonial Governments concerned to satisfy themselves of the accuracy of such statements before forwarding them to the Colonial Office. In the case of Officers receiving Fixed Salaries and Fees, the Fees will not in ordinary circumstances be allowed to count for Pension purposes to the extent of more than one quarter of the Salaries, and Fees will not in any case be allowed to count for Pension purposes during any period in which the whole time of the Officer receiving them was not given to the Public Service.
Head 8.-In cases of infirmity, if the Applicant is below the ordinary age for retirement, a Medical Certificate is to be furnished showing that he is disqualified by infirmity of mind or body for discharging the duties of his situation, and that such infirmity is likely to be permanent.
In case of ten years' service or more, this Certificate should be signed by two Officers, of whom at least one should, if possible, be a Salaried Officer of the Government.
Head 9-As to "broken" service, see Head 5.
If the Applicant has had any "acting" service, the details must be fully given, with a statement whether or not during the "acting" service, he was connected with the permanent Civil Service of the Colony.
Head 11.-If, in special circumstances, a professional Civil Officer has been allowed to have "private practice" without forfeiting his claim to Pension, the facts are to be fully stated.
Head 14.—If the Applicant is liable to any deduction from his service under Clause 102 of the Colonial Regulations, the facts should be fully stated.
Head 19.--The length of service and other particulars of the computation are to be given. When an average of Salary, &c., is taken, the mode of calculating it (whether by months, &c.) is to be explained.
449
NEU? 21 NOV 87
Government Civil Hospital 23rd September 1887.
We certify that Gaol Guard Para Singh is suffering from a progressive disease of the eye... which is producing gradual blindness. He is also suffering from ... Vermia ... His sight now renders him quite unfit for the performance of his duties and we recommend that he should retire on pension.
Dr. C. Anderson, Colonial Surgeon
Broken Mind, Acting Health Officer.
(4)
Instructions referred to on page 1.
If this Paper of Particulars and the Certificates connected with it, be not sent in original, the coples must be duly attested.
Head of Paper-In the case of an Officer serving on the West Coast of Africa, a statement is to be added whether he
a native of that Coast. (Colonial Regulations, § 430).
Head 3.-State the description of Allowance for which the Application is recommended, viz., Superannuation, Compensatio Compassionate Allowance, or Gratuity, and its amount. In the case of Persons claiming an addition to the Peusions in respect of Professional or other special qualifications, this should be stated, and a reference should i given to the anthority under which the claim is made.
Hend 5.-If the service has been interrupted by one or more breaks, the word "broken" should be added before or aft the number of years and months, and the causes, dates, and circumstances of the break or breaks should be state under heading 9.
Head 6.--If the person retiring has been in receipt of the same Salary, or in the class from which he retires, for the months immediately before the date of his retirement, the actual annual rate of Salary or Wages at that date should inserted, preceded by the word "actual." In other cases the average annual amount of Salary or Wages for the months next preceding the date of retirement should be inserted, preceded by the word "average," but if the whe period of service is less than three years, then the average for the whole period of service should be inserted. Head 7--A separate statement should be inserted of the average Annual Value, for the 30 months immediately precedin retirement, of each Emolument (exclusive of salary or wages) which is claimed to be included in the calculation of the Pension or Gratuity.
Whenever the value of a House or House Allowance, so ascertained, exceeds one-sixth of the salary and othe emoluments which count for Pension purposes, it is to be reduced to one-sixth of that amount, so that it shall se exered one-seventh of the whole.
Fees which an Officer is allowed to retain for his own nse will be taken into account for Pension purposes, it regular salary, at the annual average of the net receipts of the 36 months next preceding the Officer's retiremen These net receipts are to be ascertained by deducting from the gross amount of Fees such Office Expenses, &c. * an Officer may have had to defray from his own resources, in performing the services for which he was remunerated by Fees. No deduction, however, from the Fees should be made in respect of Office Expenses provided from Publ Funds, for the duc discharge of those duties to which a Fixed Salary is annexed. Papers of "Particulars" wha forwarded to the Colonial Department should be accompanied by formal Declarations from the retiring Officers, showing the amount received by them for Fees, and the amount defrayed as above for Office Expenses, &c., in each of the thr years immediately preceding the retirement. It will be the duty of the Colonial Governments concerned to satisi themselves of the accuracy of such statements before forwarding them to the Colonial Office. In the case of Offer receiving Fixed Salaries and Fees, the Fees will not in ordinary circumstances be allowed to count for Pension pa puses to the extent of more than one quarter of the Salaries, and Fecs will not in any case be allowed to count t Pension purposes during any period in which the whole time of the Officer receiving them was not given to the Publis Service.
Head 8.-In cases of infirmity, if the Applicant is below the ordinary age for retirement, a Medical Certificate is to be
furnished showing that he is disqualified by infirmity of mind or body for discharging the duties of his situation, a that such infirmity is likely to be permanent.
In case of ten years' service or more, this Certificate should he signed by two Officers, of whom at least one shout
if possible, be a Salaried Officer of the Government.
Head 9-As to "broken" service, see Head 5.
If the Applicant has had any "acting" service, the details must be fully given, with a statement whether or nå during the "acting" service, he was connected with the permanent Civil Service of the Colony.
Head 11.-If, in special circumstances, a professional Civil Officer has been allowed to have "private practice" withos
forfeiting his claim to Pension, the facts are to be fully stated.
Head 14.—If the Applicant is liable to any deduction from his service under Clause 102 of the Colonial Regulations, the
facts should be fully stated.
Head 19.--The length of service and other particulars of the computation are to be given. When an average of Salarji
&c., is taken, the mode of calenlating it (whether by months, &c.) is to be explained.
449
NEU? 21 NOV 87
Government Civil Hospital 23rd September 18877.
đường trong
We certify that Gaol Guard Para
suffering from a progressive
which is producing gradual-
مهند
Singh diccare of
the
eye...
blindness. He is also suffering from Vermia His sight
now-renders him quite infit for
the performance of his duties and we recommend
he should retire on.
pension. Dr. C. Ander Colonial Surgeon
Borken Mind.
>
Acting Health Officer.
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