211
(4)
Instructions referred to on page 1.
(A. 182.)
Enclosure 2
COLONIAL PENSIONS, &C.
0.
26153
Reco Fae? 26 UEC 98
&
149
PARTICULARS required to be furnished in reference to Persons recommended for Superannuation.
Compensation or Compassionate Allowances, or Gratuities on retirement.
(In filling up this Paper refer to the Instructions on page 4.)
If this Paper of Particulars and the Certificates connected with it, be mut sent in original, the copies must be duly attested.
1. Name of Applicant Chau Shau
2. Office or Situation Third Clerk, Magistracy
of $.194.39
Head of Paper-In the case of an Officer serving on the West Coast of Africa, a statement is to be added whether 5. Recommended for Pension.
a native of that Coast. (Colonial Regulations, § 430.)
Head 3.--State the description of Allowance for which the Application is recommended, viz., Superas mation, Compensating 4. Age Thirty-seven years.
Compassionate Allowance, or Gratuity, and its amount. In the case of Persous claiming an ad lition in their Pensio in respect of Professional or other special qualifications, this should be stated, and a reference shoubl be given to the authority under which the claim is made.
Head 5.-If the service has been interrupted by one or more broaks, the word "broken" should be a lded before or after t number of years and months, and the causes, dates and circumstances of the break or breaks should he stated ab heading 9.
Head 6-If the person retiring has beeu in receipt of the same Salary, or in the class from which he retivos, for the $
mouths immediately before the date of his retirement, the actual annual rate of Salary or Wages at that date should be, inserted, preceded by the word "actual." In other eases 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 simi 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 preceding retirement, of each Emolument (exclusive of salary or wages) which is claimed to be included in the calculation d the Pension or Gratuity.
Whenever the value of a House or House Allowance, so ascertained, exceeds one-sixth of the salary and che emoluments which count for Pension purposes, it is to be reduced to one-sixth of that amount, so that it shall a 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, regular salary, at the annual average of the net receipts of the 36 months next preceding the Officer's retireme These net receipts are to be ascertained by deducting from the gross amount of Foos such Office Expenses, &c,» an Officer may have had to defray from his own resources, in performing the services for which he was remunerated Fees. No deduction, however, from the Fees should be made in respect of Office Expenses provided from Pak Funds, for the due discharge of those duties to which a Fixed Salary is annexel. Papers of "Particulars" wi forwarded to the Colonial Department should be accompanied by formal Declarations from the retiring Ofleers, shonis the amount received by them for Fees, and the amount defrayed as nhove for Office Expensos, &c., in each of the th years iminediately preceding the retirement. It will be the duty of the Colonial Governments concerned to salih In the case of Ofe themselves of the accuracy of such statements before forwarding them to the Colonial Office, receiving Fixed Salaries and Fees, the Fees will not in ordinary circumstances be allowed to count for Pension pr 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 Pall Service.
Head 8.-Iu cases of infirmity, if the Applicant is below the ordinary age for retirement, a Medical Cortifieste is to furnished showing that he is disqualified by infirmity of mind or body for discharging the duties of his simation 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 sixi if possible, be a Salaried Officer of the Government.
Head 9.-As to "broken" service, see Head 5.
If the Applicant has had any "aeting" service, the details must be fully given, with a statement whether of 2015 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 "
forfeiting his claim to Pension, the facts are to be fully stated.
private practies" with
Head 14.—If the Applicant is liable to any deduction from his service under Clause 102 of the Colonial Regulations, b
facts should be fully stated.
Head 19.---The length of service and other particulars of the computation are to be given. When an average of Sale?
dr., is taken, the mole of calonlating is (whether by months, &c.) is to be explained.
5. Service in Years and Monthe Inelve years and eleven days
6. Annual Salary or Wages..
7. Emoluments.
$ 832.88
Total amount of Salary or Wages and Emoluments on which pension manuation, &c. is claimed,
$ 382.66
$. Cause of Retirement
Percitted to resiga.
9. Dates of Commencement and Termination of the several Appointments held by Applicant, with their Emoluments, distinguishing Salary from other Allowances and specifying such allowances.
Title of Appointment.
Usher and Process Server
J
Magistracy,
#
#
Clerk to Fire Brigade
Date of Commence-
ment.
Date of Termination.
ADonal Allowances, Salary.
&c.
Nature
of Allowances,
&c.
20.10.85 51.12.90
480
1. 1.91 30. 9.95, 578
F
1. 2.88 $1.12.90 204
"
體
#
Third Clerk, Magistracy'
1. 1.91 31. 5.95 240 1.10.95 81.10.97
D
840
[C. O. D. No. Hl
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