(2)
(3)
200
10. Whether each of the Appointments held by the Applicant has been on the Fixed Establishme Statement, if the circumstances warrant it, that the Applicant “has discharged his duties with
of the Colony.
Fixed Establishment.
11. Whether the duties of the several offices or situations held since the Applicant entered the Cin
Service have been such as to require that the holder should give his whole time to the Publ
Service.
Yes.
"diligence and fidelity, to the satisfaction of the Head 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, togther with "such a statement as will exhibit the "merit, and value, and labour of the services of the Person recommended, crubracing as long a "period of this public service as cau be authentically stated," and observations as to Special Services, Suspension, Reprimand, &e, with full particulars of any injuries received on duty, or other claims or matters for consideration.
12. Whether holding any other Pablic Appointment, or receiving or claiming to receive any Pull
Money by Compensation, Half-pay or otherwise.
No.
13. If any kind of Pension or other Allowance has been commuted under the Imperial Pension Commutation Acts, 1869 and 1871, and annual amount of Pension or Allowance so commute
and the date of Connnutation should be inserted.
The applicant is reported by the Postmaster, Shanghai, to
have discharged his duties with diligence and fidelity.
(Sd.) C. Mol. Messer,
Postmaster-General.
No.
14. Absence, beyond ordinary Vacation leave:----
Year
Period of Absence
1
From
To
1
>
1
32
1
"
1
NI L. -- - - -
1
14
1
1
1
1
Number of Days.
Cause of Absence.
15. Date of Cessation of Duty,... Transfer to Imperial Government Service 31.12.
16. Date of Cessation of Salary,
do.
17. Date from which, inclusively, Pension will commence,.........
19. Computation, by the Colonial Treasurer, of the Peusion, &c.
which may be paid to the Applicant
8513.33
I certify that the. Pension
according to the Rules of the Colonial Service, amounts to and I base myCertificate on the following calculation:-
Service from 1872 - 1910
Clause 17 (1) 40/60 of 8770
•
38 years plus 5 43 years.
8513.33.
The applicant is entitled to daw his pension at the rate of-- Contribution to Widows and Orphans' Pensions at the rate of
annum should be dedusted, up to the
day of and the full amount of the pension sluuld thereafter be paid,
Tack mive,
(Sd.) A. M. Thomson.
Colonial Treasurer
22.1.12.
(Sa.) F. D. Lugard,
31.12
Governor, &c.
1.2.
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