14
10. Whether each of the Appointments by the Applicant has been on the Fixed Establishmen
of the Colony. Mo
ival and
11. Whether the duties of the several offices or situations held since the Applicant entered the Civil Service have been such as to ire that the holder should give his whole time to the Publis
Service.
t
12. Whether holding any other Public Appointment, or receiving or claiming to receive
Money by Compensation, Half-Pay or otherwise.
to.
any Public
13. If any kind of Pension or other Allowance has been commuted under the Imperial Pensions Com
mutation Acts, 1869 and 1871, and annual amount of Pension,or Allowance so commuted and
the date of Commutation should be inserted.
14. Absence, beyond ordinary Vacation leave,
til
15. Date of Cessation of Duty,
20 November 1888,
$
}
16. Date of Cessation of Salary,
"
17. Statement, if the circumstances warrant it, that the Applicant "has discharged his duties wit
*
diligence and fidelity, to the satisfaction of the flead 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 s
}
#4
353
Government fivil Hos
12 November,
I certify that Lai Sai is suff
from Chronie Bronchitis and Genuas. and I am of opinion
ebetely
has
appication should be
granter as le is not now fit for his unk.
877 Ph. B. 6. Ay
Colonial Surgies
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