CO129-447 - Governor Sir May - 1918 [1-3] — Page 273

C

(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 Civi 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-pay or otherwise.

ho.

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 commuteď

and the date of Commutation should be inserted.

C

(3)

268

18. Statement, if the circumstances wanant it, that the Applicant "bas 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, 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 to the satisfaction of the Head of his Department-

I. M. Johnson

Pri wa Eu Me You Offica

4.10.17

ho.

14. Absence, beyond ordinary Vacation leave:—

19. Computation, by the Colin Treasurer, of the Pension, &e.

I certify that the

Om Half lay Leave

do

according to the Rules of the Colonial Service amounts to

and I base my Certificate on the following calculation:--

Year.

Period of Absence

Number of Days..

Cause of Absence.

19.10. From

16.2.10

To 30-11-10

19.43

19.0.3..

21. 4.13

» 12-11-13

9 6222

14

30

-

3.

5. 03

· 5.03

9 days

"}

1

"

1

"

37

1

15

1

1 ......

1

1

"

*

>>

**

15. Date of Cessation of Duty...30th August 191.7

16. Date of Cessation of Balary,..

29th October 1917

30th

37. Date from which, inclusively, Pension will commence, 30 October 1914.

which may be paid to the Applicant

The applicant is entitled to draw his pension at the rate of Contribution to Widows' and Orphans' Pensions at the rate of

Aunum should be deducted, up to the....

per

day of

19

inclusive,

and the full amount of the pension should thereafter be paid.

Colonial Treasurer.

Ama

Governor, &c,

[Instructions.]

.