...
44 453
(2)
10. Whether each of the Appointinents held by the Applicant has been on the Fixed Establishment
of the Colony.
yu
11. Whether the duties of the several offices or situations held since the Applicant entered the Civil Service have been such as to require that the holder should give his whole time to the Public Service
ут
12. Whether bolding any other Public Appointment, or receiving or claiming to receive
Money by Compensation, Half-pay, or otherwise.
200
around Retard
8 per ann und Relivid pay as kelord Commended R. et.
any
Public
13. If any kind of Pension or other Allowance has been commuted under the Imperial Pensions Commutation Acts, 1869 and 1871, and annual amount of Pension or Allowance so commuted and the date of Coinmutation should be inserted.
£44.15.0
pa camant Commatid, Gecombes,
14. Absence, beyond ordinary Vacation leave :--
1991-
(3)
18. Statement, if the circumstances warrant it, that the Applicant "has discharged his duties with diligence and fidelity, to the satisfaction of the Heal Officer or Officers of his Department," to be signed by any two of such Head 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 received on duty, or other claims or matters for consideration.
+
Year.
Period of Absence.
Number of Days.
Cause of Absence.
1887
From 19th August
To 18th October
68
1877
وجھی
1892
1895
#
ugon
180
14 January
Octobers
9th July
10th. Afnet
30th Hovent.
31. Quant
36
January » 26. Jum
"
296
do
+
56
ن کیا گیا
do
18
18
18
7)
18
15. Date of Cessation of Duty,
9th January 19844
16. Date of Cesssation of Salary,
17. Date from which, inclusively, Pension will commence,
19. Computation, by the Colonial Treasurer, of the Pension, &c.
I certify that the
Pervin
mod
which may be paid to the Applicant
2800
موند
Clubtle
according to the Rules of the Colonial Service, amounts to
and I base my Certificate on the following calculation :--
Linges of Pertice
Lesb 4/2 of 42 pay 14 opping
Add for copris
26
*
Prosencial qualification
than
19
days
22
100
sly
3
✔ Clutte
26
14713.4
& Chulla
Persion of $6000 - $5000 38. Der Bredbur
14
The applicant is entitled to draw his pension at the rate of #
Colonial Treasurer,
7.3.
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