i
$
279
(2)
10. Whether each of the Appointments held by the Applicant has been on the Fixed Establishment
of the Colony.
yes
1)
(
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 Commutation Acts, 1869 and 1871, and annual amount of Pension or Allowance so commuted and the date of Commutation should be inserted.
None
14. Absence, beyond ordinary Vacation leave, in each of the lust 10-puncs :-
(3)
18. Statement, if the circumstances warrant it, that the Applicant "has discharged bis 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 Heal 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.
I cutity hat ht Ackroyd has performed his duties brit diligence and fidelity and l hey satisfaction during his period
his period of suvice under this Goverment.
Governor
Year.
Period of Absence.
Number of Days.
Cause of Absence.
18 fs
From Hagenat Tɔ 31a De dr
149
18 59
1892
18
18
...
1th Favory » 22o droly
326
13
}"
4* Occky
121
$5
"
19
18
18
18
18
**
25
18
15. Date of Cessation of Duty,
16. Date of Cessation of Salary,
17. Date from which, inclusively. Pension will commence,...
6t July 1895
6th July, 1898
7th July 1895
19. Computation, by the Colonial Secretary, of the Pension, &c.
I certify that the
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 :--
Arount of praein Carest be calculated
Love
Instructions
I
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