+
(2)
10. Whether each of the Appointments held by the Applicant has been on the Fixed Establishment
of the Colony.
Yes.
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.
12. Whether holding any other Public Appointment, or receiving or claiming to receive any Public
Money by Compensation, Half-pay or otherwise.
(3)
633
18. Statement, if the chcumstances wariant 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 exlubit 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 injurits received on duty
or other claims or matters for consideration,
13. If any kind of Pension or other Allowance has been commuted under the Imperial Pen sions.
Commutation Acts, 1809 and 1871, and annual amount of Pension or Allowance so commuted
and the date of Commutation should
inserted.
По
14. Absence, beyond ordinary Vacation leave:—
19. Computation, by the Colonial Treasurer, of the Pension, &c.
Year.
ids...
1868
+3
1.
1887. 18.72
1425.
1896.
Period of Absence
From 24th
24th July To stoot.
27th April 31. dec. 249
12
1st January, 18th Mar
31
29th July
**
I certify that the
on
which may be paid to the Applicant
Number of Days.
Cause of Absence.
according to the Rules of the Colonial Service amounts to
$1,546.66.
99
on half- Jay leave
and I base my Certificate on the following calculation:—
yrs.
m.
d.
77
72
Length of service less of pay leave +leave without pay
15 11
2
1
6 20
=
14.
4. 10
add (cl.17 (1)
5
= 232 months
F
4/2.
bove without.
per
31 dec 179
Aug.
sot January, Fang. 217 18.765th August 30ttitor. 118
sthaugust
1
27
+4
Duty,..
F
19
31
15. Date of Conation of D. ............ 18.9.6. Gransferred to Hope
16. Date of Cessation of Balary,
4 8 18.76.
bivil Service as deputy
Povernor in the Ander
Servis 1.12.76.)
17. Date from which, inclusively, Pension will commence,........................................er
19 4months salary 84800 x 232/720 81,546.66 @ 4/2 £322.45. 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 the.
day of
and the full amount of the pension should thereafter be paid.
Governor, &c,
19 . inclusive,
(Sa.) E.D.C.Wolfe.
Colonial Trensurer.
[Instructions.]
A MAA, PREDRA A DIN
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