37
(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 Civ
Service have been such as to require that the holder should give his whole time to the Public Service.
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 Com- mutation Acts, 1869 and 1871, and annual amount of Pension or Allowance so commuted and the date of Commutation should be inserted.
to
14. Absence, beyond ordinary Vacation leave, in each of the last 10 years
Year.
Period of Absence.
To
Vone
18
From
18
18
18
18
18
18
19
14
18
+
18
*
Number of Days.
Cause of Absence.
(3)
18. Statement, if the circumstances warrant it, that the Applicant "has discharged his duties with
C
i+
diligence and fidelity, to the satisfaction of the Head Officer or Officers of his Department,"
to be signed by any two of snch 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 any injuries received on duty, or other claims or matters for consideration.
"This man has borne a good character, during the whole his term of service and has been once under report and reduced from 1 to
by the Supt : Govt bivil Hospital
only
2m class murse
but
was reinstated by the Governor.
119 Computation, by the Anditor General, of the Pension, &c.
Oh. Mr. Ellings botomat Lungeon:
I certify that the annual pension which may be paid to the Applicant
according to the Rules of the Colonial Service, amounts to
and I base my Certificate on the following calculation :-
Pan Wo joined the service on the 18 Leptember, 1873 - His services therefore extend over as period
of 15 years.
His average salary for the last 36
annum
"He is this entitled
months is $220 per to an annual pension of $173.23 being to the of
his
15. Date of Cessation of Duty,...
16. Date of Cessation of Salary,..
17. Date from which, inclusively, Pension will commence,.........
average salary.
12:00 at 120-0
120-to
Joma at Mochan
bby
Suditor General
b b
A
Instructions.
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