(2)
(3)
349
10. Whether each of the Appointments held by the Applicant has been on the Fixed Establishtner 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 Civi Service have been such as to require that the holder should give his whole time to the Publi
Service.
Yes.
12. Whether holding any other Public Appointment, or receiving or claiming to receive any Publie
Money by Compensation, Half-pay or otherwise.
No.
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 ang
the date of Commutation should be inserted.
"N.
14. Absence, beyond ordinary Vacation leave, in each of the last 10 years :---
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 exbibit 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,
Duties discharged with diligence and fidelity
entire satisfaction. Save generally
and to
Nam
my unacquainted with the circumstances attendant on resignation.
Wht. M. Marting
Acting Police Magistrate.
19. Computation, by the Colonial Treasurer, of the Pension, &c.
Pension
Year.
18
From
18
19
18
18
、
གྷ
18
18
13
18
18
18
39
18
*
"
15. Date of Cessation of Duty,,
16. Date of Cessation of Salary,
Period of Absence,
To
JS
">
Nil.
17 Date from which, inclusively, Pension will commence,.......
Number of Days.
Cause of Absence.
1th November, 189
1ot November, 189. 1et November, 10.
I certify that the
which may be paid to the Applicant
according to the Rules of the Colonial Service, amounts to $2 3 5 92
and I base my Certificate on the following calculation
Resident Service Allowance for climate
years
12
کھ
199
last 3
Average annual salary for Pension % of $83244 - $235 22
66
3 years.
Monson
Acting Treasurer:
Instructions.
No comments yet.
Private notes are available after approval.