683503-1880-Form-of-Particulars-required-on-application-for-Retiring-Allowances- — Page 1

154

No. 35.

THE HONGKONG GOVERNMENT GAZETTE, 11 FEBRUARY, 1880.

GOVERNMENT NOTIFICATION.

The following copy of an amended form of the "Particulars" required upon application fr Retiring allowances, in substitution for that prescribed in Appendix 2 of the Colonial Regulations, is published for general information.

By Command,

W. II. MARSH,

Coloniul Steretury

Colonial Secretary's Office, Hongkong, 9th February, 1880.

DOWNING STREET,

HONGKONG. Circular.

19th December, 1879.

SIR,--I have to transmit to you, herewith, 12 copies of an amended form of "Particulars" requin-1 on application for Retiring allowances, which is to be substituted for that prescribed in Appendix 2 to the Colonial Regulations.

The Officer Administering the Government of

HONGKONG.

I have the honour to be,

Sir,

Your most obedient humble Servant,

COLONIAL PENSIONS, &c.

M. E. HICKS-BEACH.

PARTICULARS required to be furnished in reference to Persons recommended for Superannuation. Compensation or Compassionate Allowances, or Gratuities on retirement.

1. Name of Applicant.

2. Office or Situation

4. Age

(In filling up this Paper refer to the Instructions on page 4.)

3. Recommended for.

5. Service in Years and Months.

6. Salary or Wages (

7. Emoluments

) £ £

Total amount of Salary or Wages and Emoluments on

which Superannuation, &c., is claimed,

L

of £

8. Cause of Retirement

9. Dates of Commencement and Termination of the several Appointments held by Applicant, with their

Emolâments, distinguishing Salary from other Allowances and specifying such Allowances.

Title of Appointment

Date of Commence- ment

Date of Termination

Salary

Allowances, Nature of Allowances,

&c.

&c.