(4)
Instructions referred to on page 1.
[P. 57.)
Enclosure 4
C.O.
352
| 20482
REA
HONG KONG POLICE FORCE2 SEP 3
DESCRIPTIVE LIST OF PENSIONER.
If this Paper of Particulars and the Certificates connected with it, be not seut in original, the copies must be duly attested.
Heart 1 of Paper.-In the case of an Officer serving on the West Coast of Africa, a statement is to be added whether k
a native of that Coast. (Colonial Regulations, § 430.)
Head 3.--State the description of Allowance for which the Application is recommended, viz., Superannuation, Compense Compassionate Allowance, or Gratuity, and its amount. In the case of Persous claiming au addition to their Peng in respect of Professional or other special qualifications, this should be stated, and a reference should be given to authority under which the claim is made.
Head 5.-If the service has been interrupted by one or more breaks, the word "broken" should be added before or afte
number of years and months, and the causes, dates, and circumstances of the break or breaks should be statel heading 9.
Head 6.-If the person retiring has been in receipt of the same Salary, or in the class from which he retires, for the
mouths immediately before the date of his retirement, the actual annual rate of Salary or Wages at that date shoul inserted, preceded by the word "actual." In other cases the average annual amount of Salary or Wages for the months next preceding the date of retirement should be inserted, preceded by the word "average," but if the w period of service is less than three years, then the average for the whole period of service should be inserted. Head 7.-A separate statement should be inserted of the average Annual Value, for the 36 months immediately prece retirement, of each Emolument (exclusive of salary or wages) which is claimed to be included in the calculatio the Pension or Gratuity.
Whenever the value of a House or House Allowance, so ascertained, exceeds one-sixth of the salary and of emoluments which count for Pension purposes, it is to be reduced to one-sixth of that amount, so that it shall exceed one-seventh of the whole.
Fees which an Officer is allowed to retain for his own use will be taken into account for Pension purposes, i regular salary, at the annual average of the net receipts of the 36 mouths next preceding the Officer's retirem These net receipts are to be ascertained by deducting from the gross amount of Fees such Office Expenses, dej an Officer may have had to defray from his own resources, in performing the services for which he was remunerate Fees. No deduction, however, from the Fees should be made in respect of Office Expenses provided from J'a Funds, for the due discharge of those duties to which a Fixed Salary is annexed. Papers of "Particulars" v forwarded to the Colonial Department should be accompanied by formal Declarations from the retiring Officers, shor the amount received by them for Fees, and the amount defrayed as above for Office Expenses, &c., iu each of the t years immediately preceding the retirement. It will be the duty of the Colonial Governments concerned to sa themselves of the accuracy of such statements before forwarding them to the Colonial Office. In the ease of O receiving Fixed Salaries and Fees, the Fees will not in ordinary circumstances be allowed to count for Pension } poses to the extent of more than one quarter of the Salaries, and Fees will not in any case be allowed to count Pension purposes during any period in which the whole time of the Officer receiving them was not given to the P Service.
Head 8.--In cases of infirmity, if the Applicant is below the ordinary age for retirement, a Medical Certificate is furnished showing that he is disqualified by infirmity of mind or body for discharging the duties of his situation, that such infirmity is likely to be permanent.
In case of ten years' service or more, this Certificate should be signed by two Officers, of whom at least one she if possible, he a Salaried Officer of the Government.
Head 9.-As to "broken" service, see Hend 5.
If the Applicant has had any "acting" service, the details must be fully given, with a statement whether or during the "acting" service, he was connected with the permanent Civil Service of the Colony.
Head 11.-If, in special circumstances, a professional Civil Officer has been allowed to have "private practice" with
forfeiting his claim to Peusion, the facts are to be fully stated.
Head 14.-If the Applicant is liable to any deduction from his service under Clause 102 of the Colonial Regulations,
facts should be fully stated.
Head 19. The length of service and other particulars of the computation are to be given. When au average of Sal
&c., is taken, the mode of calculating it (whether by months, &c.) is to be explained.
QUESTIONS.
Name,
Age........
Height,
Complexion,
Eyes,
Hair,
Particular Marks,
Figure,.........
Where
Born.
Parish, Province, District or Village,..
In or near the Town of,
In the Colony or Country of
Where Pension to be drawn,
When joined,
When discharged,
Length of Service,
Deduct period on leave since September, 1881,
Total actual Services,
Average Amount of pay for last three
Amount of Pension by Service,
Amount of Pension reduced to,
Commuted value,
ANSWERS.
Chang Sto
43 years
544 34
Fallow Bark Black
Slight pock marks on the face
Flow
Chun Izin Market Tours Shun Tak District.
Kwong Fing Hong Kong
Province
3rd February 1879
Seplumber 1894
4.
m. d 18.6.28
18.6.28
years,
300
.457500
Charme
Signature of Pensioner.
Captain Superintendent of Police.
Date 12th May 1898.
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