(2)
10. Whether each of the Appointments held by the Applicant has been on the Fixel Establishme
of the Colony.
Ved
11. Whether the duties of the several offices or situations held since the Applicant entered rừ
Service have been such as to require that the holder should give his whole time to the P
Service.
Yes
12. Whether holding any other Publie Appointment, or receiving or claiming to receive any Pul
Money by Compensation, Half-pay or otherwise.
No
13. If any kind of Pension or other Allowance has been commuted under the Imperial. Pensie Commutation Acts, 1869 and 1871, and annual amount of Pension or Allowance so comme and the date of Commutation should be inserted.
(3)
286
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.
:
14. Absence, beyond ordinary Vacation leave:-*
Year.
Period of Absence.
No
Number of Daver
Cause of Absence.
19. Computation, by the Colonial Secretary, of the Pension, &c.
which may be paid to the Applicant
according to the Rules of the Colonial Service, amounts to
187-72. From 12.10.71
To 11.10.7z
12
I certify that the
1872-73.
12.11.72
*
9. 2.
73
J
Imouth without s
1880-82
24. 11.80 »
29.8.82
2/
"days
}
18
dalary.
"
18
Vacation Leave
Yours 16
18
18
18 y
>
12.4.41
1.ic.
35
12.10.72.
*
11. 11. 72./
18 72
烈
18 00
» 274. 7.80
17
15. Date of Cessation of Duty,
23.11.80 ff
and I base my Certificate on the following calculation :---
Service.
jdes entre 10(2)
Pensione deincinte }
Deannet.
75
C.C. D105/92 Add
marw Juvice = 15
قوه
Days
24
6
16
(Excess leave)
9.
16. Date of Cessation of Salary,
-------------.-་
17. Date from which, inclusively, Pension will cominence............
statement
吠
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