(2)
(3)
131
3.
10. Whether each of the Appointments held by the Applicant has been on the Fixed Establishment 18. Statement, if the circumstances warrant it, that the Applicant has discharge his duties with “diligence and fidelity, to the satisfaction of the Head Officer or Officers of his Department,” of the Colony. Each appointment has been on the fixed establishment ex cept the last which was a special appointment, but may count for
to be signe by any two of such Head Officers, if there shall be more than one, or by such pension" (C.S.0.No.699 of 1889).
lend 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.
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 Publi Service. The whole of the applicant's time has been given to the Pu Service.
12. Whether holding any other Public Appointment, or receiving or claiming to receive any Publ
Money by Compensation, Half-pay or otherwise. None
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 au the date of Commutation should be inserted. None
The applicant has discharged his duties with dili-
gence and fidelity to the satisfaction of the Head Officer of his
Department.
Director of Public Works.
19. Computation, by the Colonial Treasurer, of the Pension, &c.
14. Absence, beyond ordinary Vacation leave, innob of the last 10-years
None
Pension
Year.
Period of Absence.
Number of Days.
Cause of Absence.
I certify that the according to the Rules of the Colonial Service, amounts to $3,840.00
which may be paid to the Applicant
18
From
To
18
55
5
18
?>
19
18
14
5+
18
18
18
15
18
31
18
$5
18
23
15. Date of Cessation of Duty,.
16. Date of Cessation of Salary,
17 Date from which, inclusively, Pension will commence.........
31st. January, 1898.
31st.May, 1898.
1st.June, 1898.
and I base my Certificate on the following calculation :----
Length of Service.
Add (for climate)....
35 years 11 months
5
Add (for professional qualification). 2
42 years 11 months
Pension 40/60 of $5,760
$3,840.
Arhomson
Acting Treasurer.
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