388
(2)
10. Whether each of the Appointments held by the Applicant has been on the Fixed Establishent
of the Colony.
Ger.
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 Pensious Commutation Acts, 1869 and 1871, and annual amount of Pension or Allowance so commuted and the date of Commutation should be inserted.
Nove .
14. Absence, beyond ordinary Vacation leave, in each efedre19 years:-of
Year.
Period of Absence.
16th Febry
Service.
Number of Days.
Cause of Absence.
To Hellarch
12th Septr 31th Decr.
Jany. - 28th Febry.
1892
From
1894
18 Jo
18
4:
18
13
18
,,
18
15
18
"3
18
55
18
77
多少
244
4 monthin.
(3)
180Statement, 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 tnore 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 Persou 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 hereby certify that Sir
has discharged and fidelity.
oßrien
George his duties with diligence
William Rohn's
Governor.
19. Computation, by the Colonial Secretary, of the Pension, &c.
I certify that the persion
which
according to the Rules of the Colonial Service, amounts to
and I base my Certificate on the following calculation :-----
may
be paid to the Applicant
7742.50
Lee Statement annexed.
15. Date of Cessation of Duty,
16. Date of Cessation of Salary,
28th February, 1875
28th February, 1875
17. Date from which, inclusively, l'ension will commence,...t March, 1895-
Instructions.
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