190
(2)
10. Whether each of the Appointments held by the Applicant has been on the Fixed Establishment
of the Colony.
Yes.
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.
Yes.
12. Whether holding any other Public Appointment, or receiving or claiming to receive any Public
Money by Compensation, Half-pa or otherwise.
(8)
18. Statement, if the choumstances warrant it, that the Applicant "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 Cfficers, 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,
The Applicant has discharged his duties with diligence
and fidelity to the satisfaction of the Head Officer of his
Department.
760
any
13. If kind of Pension or other Allowance has been commuted under the Imperial Pen sions
Commutation Acts, 1869 and 1871, and annual amount of Pensiou or Allowance so commuted
and the date of Commutation should be inserted.
14. Absence, beyond ordinary Vacation leave:-
Period of Absence
760.
وو
1 ground of Service.
Privat
Affairs.
Year.
Number of Days.
Cause of Absence.
1905
From
1908.
17th July 12th June
To 18.4.06
276 On the
30.9.08
19.12.
.. 30th November
1914...
5th March
.་
29.5.14
1
1
1
1......
I m....
1 ......!!
13
"
» 4·3.14 * 190
86
"
"J
:J
+3
21
2.9th May, 1914
15 Date of Cessation of •Duty...2.9.1.
16
15. Date of Cessation of Salary. ...... May, 1914.
17. Date from which, inclusively, Pension will commence,.
Ill hearth
"Commuted to 95 days
full-pay have.
30th May, 1914.
Wulluuchu (ST.M
8.1
19. Computation, by the Colonial Treasurer, of the Pension, &c.
I certify that the
Reusion.
according to the Rules of the Colonial Service amounts to
and I base my Certificate on the following calculation:-
Length of service
less 1⁄2 of /1⁄2 tay leave
Add under Clause
day
17 10.29 73.2.18
گھ
Professional qualifications 20
20 x £boo = £200.
20
which may be paid to the Applicant
£200-
per
arch 1935 inclusive,
The applicant is entitled to draw his pension at the rate of Contribution to Widows' and Orphans' Pensions at the rate of ...... annum should be deducted, up to tho.../3 day of and the full amount of the pension should thereafter be paid.
Gopernor, &c,
Colonial Treasurer.
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