(2)
(8)
17
10. Whether each of the Appointments held by the Applicant has been on the Fixed Establishing 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,"
Yes.
11. Whether the duties of the several offices or situations held since the Applicant entered the Service has 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 Pension Commutation Acts, 1869 and 1871, the annual amount of Pension or Allowance so commuted and the date of Commutation should be inserted.
No.
14. Absence, beyond ordinary Vacation leave :-
It is 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.
The matter has performed his duties to my satisfaction.
Year Period of Absence From To 18 18 31 13 :: 18 18 " 18 Nil 18 M 17 18 37 18 " 22 18 ** 1919. Computation, by the Colonial Secretary, of the Pension, &c.
Number of Days Cause of AbsenceI certify that the Gratuity which may be paid to the Applicant according to the Rules of the Colonial Service, amounts to dollars and I base my Certificate on the following calculation :-
Length of Service
Year 1 1/2 months salary Gratuity 17/2 of 8968 12 $96.0015. Date of Cessation of Duty,
16. Date of Cessation of Salary,
11 August 1891
August 1897
17. Date from which, inclusively, Pension will commence,
W. Treasurer.
Instructions.
(2)
( 8 )
17
10. Whether each of the Appointments held by the Applicant has been on the Fixed Establising. Statement, if the circumstances warrant it, that the Applicant "has discharged his duties with
of the Colony,
diligence and fidelity, to the satisfaction of the Head Officer or Officers of his Department,"
Yes.
11. Whether the duties of the several offices or situations held since the Applicant entered the C Service has been such as to require that the holder should give his whole time to the Pu Service.
Yes .
12. Whether holding any other Public Appointment, or receiving or claiming to receive any Pu
Money by Compensation, Half-pay or otherwise.
No.
13. If any kind of Pension or other Allowance has been commuted under the Imperial Pensi Commutation Acts, 1869 and 1871, and annual amount of Pension or Allowance so comme and the date of Commutation should be inserted.
No.
14. Absence, beyond ordinary Vacation leave :-
it
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
inerit, 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.
Narches the matten has performed his dutie bony satisfaction Amaz
Year.
Period of Absence.
18
From
To
18
31
13
::
18
18
"
18
Nil
18
M
17
18
37
18
"
22
18
**
19. Computation, by the Colonial Secretary, of the Pension, &c.
Number of Days.
Cause of Absence.
which may be paid to the Applicant
I certify that the Gratuity
according to the Rules of the Colonial Service, amounts to
dollars
and I base my Certificate on the following calculation :-
Length of Service
نا
Year
mother.
1
1/2 months salary.
Gratuity
17/2 of 8968
12
$96.00.
15. Date of Cessation of Duty,
16. Date of Cessation of Salary,
H
11 August 1891
Auguer
1897
17. Date from which, inclusively, Pension will commence,.......
Wercankheitt Treasurer.
Instructions.
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