(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 Civi Service have been such as to require that the holder should give his whole time to the Publis 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 aud the date of Commutation should be inserted.
No
14. Absence, beyond ordinary Vacation leave, in each of the last 10 years:-
(3)
191
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.
Year.
Period of Absence.
Number of Days.
Cause of Absence.
19. Computation, by the Colonial Treasurer, of the Pension, &c.
From
To
18
23
18
39
18
23
18
18
18
""
18
39
18
>
"
18
"
15. Date of Cessation of Duty,
16. Date of Cessation of Salary,
None
17
17. Date from which, inclusively, Pension will commence..........
I certify that the
according to the Rules of the Colonial Service, amounts to
and I base my Certificate on the following calculation :----
which may be paid to the Applicant
was appointed by S. qt.. Mr Barff the stormer win
the 20t Node 1868-as Assistant Portmanter General, and appointed Deputes Registrar of Supreme
Court and Accountant in
1883-
he
January.
never absent
half pay leave.
He will be entitled to a pension.
60
of $1.568, being 20 to of his ems- luments of # 3,360-
16802
7560
Instructions.
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