(2)
10. Whether each of the Appointments held by the Applicant has been on the Fixed Establishment
of the Colony.
No.
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.
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.
No
14. Absence, beyond ordinary Vacation leave, in each of the last 10 years:-
{
(3)
124
18. Statement, if the circumstances warrant it, 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 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.
Mys. Simmons has always
ཀ
good character and has done her duties under most difficult circumetänces to my satisfaction.
B2. B. C. Ander
Colonial Surgeon.
Year.
18
Froi
18
18
Period of Absence.
To
25
97
Nori
18
18
18
"
18
*.*
18
15. Date of Cessation of Duty,
16. Date of Cessation of Salary,
17. Date from which, inclusively, Pension will commence,...
Number of Days.
Cause of Absence.
K
19. Computation, by the Colonial Treasurer, of the Pension, &c.
I certify that the "pecial 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 :--
My Simmon
mons joined the Lervice_ on the 1st of January, 1875 at a salary.
of $360 per
annum, and free quarters
and rations.
میکنی
7.33
78.66
Wymigetell Somes
Treasure
Instructions.
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