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 9

9

III.

IV.

Date of birth-10th March 18.9.6.

Persons dependent on applicant for their subsistence—

Names.

Relationships

Years of birth,

to Applicant.

Wholly dependent

partially dependent.

or

Darathy Geargina

Robertion

1922

Elizabeth

Robertion 1929.

Daughter Wholly dependent

No. 1.

same

CERTIFICATES TO BE SIGNED BY TWO HOUSEHOLDERS, ONE AT LEAST OF WHOM MUST POSSESS ONE OF THE QUALIFICATIONS SPECIFIED BELOW.

I certify that I have read the statement hereto attached and believe the to be correct, and that I believe the applicant to be in every respect a distressed relative of a deceased

deserving of relief from public funds as Colonial officer.

Signature

Qualification.

Full Postal

off. Walter Field

Householder

18 Glenfull treet

Cheltenham

19 31.

Gloucestershire

Daughter Whally dependent

Date

23 June

No. 2.

V. Other particulars which it is desired to give—

ま

I solemnly and sincerely declare that the foregoing is a true statement

in regard to myself and the persons named as being dependent on me, and that I

have no relatives able to afford me the assistance I require.

Dorothy Robertion Signature of the Applicant.

16 Glenfell Street...

Cheltenham

Address.

NOTE. Where the distressed relatives are miners, application may be made by their guardian on their behalf.

(797)

Pack 9

same

I certify that I have read the statement hereto attached and believe the to be correct, and that I believe the applicant to be in every respect a distressed relative of a deceased

deserving of relief from public funds as

Colonial officer.

Signature-

Qualification.

Full Postal

address

ag South

the Peace for

Justice of St Marys,

Charlton things

Date

June 23

-19 3/

Cheltenha

12

Gloussatiab

** The above Certificates may be signed by:-

1. Justices of the Peace.

2. Notaries Public.

IN THE UNITED KINGDOM.

3. Ministers of Religion acting and resident within the town or district where they attest.

4. Commissioners appointed to administer oaths.

5. Bankers whose names have been returned to the Commissioners of Inland Revenue.

6. Managers of banks and branch banks.

7.

Persons registered under "The Medical Act."

8.

9.

Head Postmaster.

Officers of His Majesty's Naval or Military Services.

10. Member of the Police Force of or above the rank of Sergeant.

IN THE COLONIES.

Any of the principal officers of the Government, Justices of the Peace, Notaries Public,

or Ministers of Religion acting or resident in the town or district where they attest.

ABROAD.

British Consuls, Vice-Consuls, Chaplaine, or Notaries Public.

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