CO129-534-7 Mrs Robertson- widow of Sgt. John Robertson- late of the Hong Kong Police- application for... 6-5-1931 - 21-8-1931 — Page 8

TROPIC

COLONIES FRICA

PROTECTO

TES

8

Form to be completed by distressed relatives of deceased officers who are applicants for relief from public funds.

NOTE.--Except in the case of widows or orphan children of officers who were contributors under the West African Widows' and Orphans' Pension Scheme, relatives of deceased officers are not entitled to any relief from public funds, but in cases of destitution, and where there are no relatives able to afford help, a small compassionate gratuity is occasionally, if the circumstances warrant it, allowed. The amount of such gratuity will not in any case exceed six months' salary of the deceased officer.

(1) Name of (1) Applicant.

(2) Relation of applicant to deceased

officer.

(3) Appoint-

ment and

name of

deceased officer.

STATEMENT by :

Robection Dorothy

Wife

of the late (3)_

John

(2)

Robertson

Sergeant Hong Jeong Police force

I.

Present means of support.

(Where the applicant has other persons dependent on him or her the means of support possessed by these persons should be included).

Capital Value.

Annual Value.

₤14 left

Mil. Stas my ₤4

hud and spensers

Amount of policies of insurance on the life of the late officer

Value of land or house property

£

Amount of property in Stocks, shares, &c.

£

CH

(+) The duration of such annuity or pension should be indicated.

(4) Amount of annuities or pensions

Amount allowed to applicant by relatives, friends, &c.

(5) The nature of such

property or

income should

be stated.

Personal earnings

Value of other (5)property or income not above described

TOTALS

:

£

Jymas

child to 6012 after.

£

C++?

mil

II. Allowance, if any, made by the deceased officer to applicant and to persons herein named as dependent on applicant

£

not married then.

(J 4816-h.) Wt. 12-943. 200. 9/15. D&S.

[SEE OVER.