330
(2)
10. Whether each of the Appointments held by the Applicant has been on the Fixed Establishment
of the Colony.
spcs.
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 bolder should give his whole time to the Public
Service,
apes.
12. Whether holding any other Pallic Appointment, or receiving or claiming to receive any Public
Money by Compensation, Half-pay or otherwise.
No
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 Commutation should be inserted.
fo.
14. Absence, beyond ordinary Vacation leave:-----
Year.
Period of Absence
(3)
18. Statement, if the circumstances warrant it, that the Applicut "has discharged his duties with "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, embracing as long a "period of this public service as can 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.
Mr Aw.Brewin has discharged. diligence
his duties with
to
my catisfaction.
19. Computation, by the Colonial Treasurer, of the Pension, &c.
I certify that the
Pension
Number of Days.
Cause of Absence.
and
fidelity
Homag Governor, 4.
which
may be paid to the Applicant
1874
1902...
1705.
1912.
From 72-7
» 15c
15 august
1977 June
1
1
1
1
1
Tomber 5 mouth's
33
1903.
7 days
and by anys Half pay leave.
17 april 1709 9 montling sind
20
& mondia
according to the Rules of the Colonial Service, amounts to 3/2000
and I base myCertificate on the following calculation:
Length of service
less 1/2 of 1/1⁄2 pay
add
"Chars mouth days
28
23
20
21
**
}:
33
15. Date of Cessation of Duty, 28% Mombat liJ NP
16. Date of Cessation of Salary, 28 off mcmber 1912.
19.12......
17. Date from which, inclusively, Pension will commence, 29 November 1712.
Allowed additional part of oue mouth by presidente Prusion the of $7,200 = $3/20° @ 3/8 = 8573.0.0.
The applicant is entitled to draw his pension at the rate of
Contribution to Widows' and Orphans: Pensions at the ente of.
auuum should be deducted up tolia.
..day of.................
and the fall amount of the pension Should thereafter be paid.
Homay
Governor, &c.
14
İBİYA
Св. Явинки
Colonial Treasurer
+
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