Instructions referred to on page 1.
COLONIAL PENSIONS, &C.
C.O.
RECO & REG 29 MAY 39
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 not sent in original, the copies must be duly attested.
Name of Applicant: tse Kan
Head 1 of Paper.-In the case of an Officer serving on the West Coast of Africa, a statement is to be added whether he is a native of that Coast. (Colonial Regulations, § 430.)
Head 3.-State the description of Allowance for which the Application is recommended, viz., Superannuation, Compensation, Compassionate Allowance, or Gratuity, and its amount. In the case of Persons claiming an addition to the Pension in respect of Professional or other special qualifications, this should be stated, and a reference should be given to the 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 the number of years and months, and the causes, dates and circumstances of the break or breaks should be stated under 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 three months 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 cases the average annual amount of Salary or Wages for the three months next preceding the date of retirement should be inserted, preceded by the word "average", but if the 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 scale of the Pension or Gratuity.
Whenever the value of a House or House Allowance, so ascertained, exceeds one-sixth of the salary and emoluments which count for Pension purposes, it is to be reduced to one-sixth of that amount, so that it should not exceed one-seventh of the whole.
Fees.
Fees which an Officer is allowed to retain for his own use will be taken into account for Pension purposes as regular salary, at the annual average of the net receipts of the 36 months next preceding the Officer's retirement. These net receipts are to be ascertained by deducting from the gross amount of Fees such Office Expenses, as an Officer may have had to defray from his own resources, in performing the services for which he was retained. No deduction, however, from the Fees should be made in respect of Office Expenses provided from Funds, for the due discharge of those duties to which a Fixed Salary is annexed.
Papers of Particulars forwarded to the Colonial Department should be accompanied by formal Declarations from the retiring Officers, of the amount received by them for Fees, and the amount defrayed as above for Office Expenses, &c., in each of the years immediately preceding the retirement. It will be the duty of the Colonial Governments to satisfy themselves of the accuracy of such statements before forwarding them to the Colonial Office.
In the case of Officers receiving Fixed Salaries and Fees, the Fees will not in ordinary circumstances be allowed to count for Pension purposes to the extent of more than one quarter of the Salaries, and Fees will not in any case be allowed to swell Pension purposes during any period in which the whole time of the Officer receiving them was not given to the public service.
Service.
Head 8.-In cases of infirmity, if the Applicant is below the ordinary age for retirement, a Medical Certificate should be furnished showing that he is disqualified by infirmity of mind or body for discharging the duties of his situation, and 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 should, if possible, be a Salaried Officer of the Government.
Head 9.-As to "broken" service, see Head 5.
If the Applicant has had any "acting" service, the details must be fully given, with a statement whether 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" during his official service without forfeiting his claim to Pension, 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, the 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 Salary, &c., is taken, the mode of calculating it (whether by months, &c.) is to be explained.
Office or Situation: Scavender, Government Civil Hospital
Recommended for a Compassionate allowance.
Age: 30 years
Service in Years and Months: 24 years
Salary or Wages: ...
Emoluments: $2.20 per annum.
Total amount of Salary or Wages and Emoluments on which Superannuation, &c. is claimed: ...
Cause of Retirement: Ill health.
Title of Appointment Date of Commencement Date of Termination Annual Salary Nature of Allowances, &c. E... 10. D. No. 14! August 1374 1st Jan. 1899 102 (Increase of Salary 1...(4)
Instructions referred to on page 1.
182.)
COLONIAL PENSIONS, &C.
C.O.
1 3 6 1 % 2
RECO
&
REG 29 MAY 39
RTICULARS 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 not sent in original, the copies
must be duly attested.
Name of Applicant fse Kan
Head 1 of Paper.-In the case of an Officer serving on the Wost Coast of Africa, a statement is to be added vlæbe
a native of that Coast. (Colonial Regulations, § 430.)
Head 3.-State the description of Allowance for which the Application is recommended, viz., Suporan nation, Comped Compassionate A lowance, or Gratuity, and its amount. In the case of Persons claiming au al útion to the P in respect of Professional or other special qualifications, this should be stated, and a reference should he givand 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 a led before era
number of years and months, and the causes, dates and circumstances of the break or breaks should be star heading 9.
Head 6-If the person retiring has been in receipt of the same Salary, or in the class from which he retres, for t months immediately before the date of his retirement, the actual anunal rate of Salary or Wages at that date sho inserted, preceded by the word "actual" In other cases the average annual amount of Salary or Wages for t months next preceding the date of retirement should be inserted, preceded by the word "average," but it dep period of service is less than three years, then the average for the whole period of service should he inserted. Head 7-A separate statement should be inserted of the average Amnal Value, for the 36 months immediately pr retirement, of each Emolument (exclusivo of salary or wages) which is claimed to be included in the skel the Pension or Gratuity,
Whenever the value of a Honse or House Allowance, so ascertained, exceeds one-sisth of the salary and emoluments which count for Pension purposes, it is to be reduced to one-sixth of that ammant, so that it sho exceed one-seventh of the whole.
Fees.
Fees which an Officer is allowed to retain for his own use will be taken into account for Pension pape regular salary, at the annual average of the net receipts of the 36 months next preaxding the Oficer's ma These net receipts are to be ascertained by deducting from the gross amount of Fees such Office Expenses, an Officer may have had to defray from his own resources, in performing the services for which he was reta No deduction, however, from the Fees should be made in respect of Office Expenses provided from Funds, for the due discharge of those duties to which a Fixed Salary is annexed. Papers of Particulars forwarded to the Colonial Department should be accompanied by formal Declarations from the retiring Offcars, ** the amount received by them for Fees, and the amount defrayed as above for Office Expenses, &c., in each of the youre immediately preceding the retirement. It will be the duty of the Colonial Governments routernal 19 themselves of the accuracy of such statements before forwarding them to the Colonial Office. In the case of l receiving Fixed Salaries and Fees, the bees will not in ordinary circumstances be allowed to conat for lesse poses to the extent of more than one quarter of the Salaries, and Fees will not in any osse he allowed to Su Pension purposes during any period in which the whole time of the Officer receiving them was not given to fac
Service.
Head 8.-In cases of infirmity, if the Applicant is below the ordinary age for retirement, a Medical Cortierte
furnished showing that he is disqualified by infirmity of mind or body for discharging the duties of his singls
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 we
if possible, be a Salaried Officer of the Government.
Head 9.As to "broken" service, see Head 5.
If the Applicant has had any "acting" service, the details must be fully given, with a statement whether 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" d
forfeiting his claim to Pension, the facts are to be fully stated.
Head 14.-If the Applicaut is liable to any deduction from his service under Clause 102 of the Colonial Regulation
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 5
ke., is taken, the mole of calculating it (whether by months, &c.) is to be explained.
fice or Situation Scavender, Government Civil Hospital
Recommended for a Compassionate allagande..
30
ge of years
Service in Years and Months24 years
L
Kanaal Salary or Wages.
Boluments
of $2.20 per acnur.
Total amount of Salary or Wages and Emoluments on which
Superannuation, &c. is claimed,
Cause of Retirement
Ill health.
K
02
惡
92
ales of Commencement and Termination of the several Appointments hell by Applicant, with their Emoluments, distinguishing Salary from other Allowances and specifying such allowances.
Title of Appointment!.
E
10. D. No. 14!
Date of Commence-
ment.
Date of Termination.
Annual Allowances, Salary.
&c.
Naturo of Allowances,
&c.
379
August 1374
1st.Jan.
1899
102
(Increase of Salary 1.
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