(2)
(B)
347
10. Whether each of the Appointments held by the Applicant has been on the Fixed Establishing 18. Statement, if the circumstances warrant it, that the Applicant "has discharge his duties with
of the Colony.
Yes.
11. Whether the duties of the several offices or situations held since the Applicant entered the Cir Service have been such as to require that the holder should give his whole time to the Publ Service.
Yes..
12. Whether holding any other Public Appointment, or receiving or claiming to receive any Publ
Money by Compensation, Half-pay or otherwise.
No.
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 receive 1 on duty, or other claims or matters for consi lerutin,
Duties discharged with diligence and fidelity
entire satisfaction. Save
and to
generally
де
am
my unacquainted with the circumstances attendant
resignation.
13. If any kind of Pension or other Allowance has been commutel under the Imperial Pensions Coron mutation Acts, 1869 and 1871, and annual amount of Pension or Allowance so conmuted and
the date of Commutation should be inserted.
V
14. Absence, beyond ordinary Vacation leave, in each of the last 10 years :—
Year.
Period of Absence.
To
"}
18
From
18
18
18
18
"}
"
18
18
18
32
18
18
"
**
預
Number of Days.
Cause of Absence.
12 November, 189.
15. Date of Cessation of Duty.......
16. Date of Cessation of Salary,
17. Date from which, inclusively, Pension will commence,.
17 November, 18 1.+ November,
136
19. Computation, by the Colonial Treasurer, of the Pension, &c.
I certify that the
Pension
J. H. Bertings
Acting Police Magistrato
which may be paid to the Applicant
according to the Rules of the Colonial Service, amounts to 48.0
and I base my Certificate on the following calculation :—
Resident Service years. Allowance for
25
60
climate
20
months
10
25
Pension 20% of $4/152 - $4807
0.0
Anshomson
Acting Treasurer.
Instructions.
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Private notes are available after approval.