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

(In filling up this paper refer to the instructions on page 283.)

Total amount of salary or wages and emoluments, on which superannuation, £

&c., is claimed

8. Cause of retirement

of £

9. Dates of commencement and termination of the several appointments held by applicant, with their emoluments, distinguishing salary from other allowances, and specifying such allowances :

Title of Appointment.

Date of
Date of
Commence- Termina- Salary.
ment.
tion.

Allowances, &c.

Nature of Allowances, &c.

10. Whether each of the appointments held by the applicant has been on the Fixed Establishment of the Colony.

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.

13. If any kind of pension or other allowance has been commuted under the Imperial Pensions Commutation Acts, 1869 and 1871, the annual amount of pension or allowance so commuted, and the date of commutation, should be inserted.

14. Absence, beyond ordinary vacation leave, in each of the last ten years:—

This Form is to be used likewise on the creation of a new Office.

15. Date of cessation of duty

16. Date of cessation of salary

17. Date from which, inclusively, pension will commence

18. Statement, if the circumstances warrant 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 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. 19. Computation, by the Auditor-General, of the pension, &c. I Certify that the

the Colonial Service, amounts to calculation:

which may be paid to the applicant according to the Rules of and I base my certificate on the following Instructions referred to on page

If this paper of particulars, and the certificates connected with it, be not sent in original, the copies must be duly attested.

Head 1 of Paper.-In the case of an Officer serving on the West Coast of Africa, a statement is to be added whether he is a native of that coast. (Colonial Regulations, § 430.)

Head 3.-State the description of allowance for which the applicant is recommended, viz., superannuation, compensation, compassionate allowance, or gratuity, and its amount. In the case of persons claiming an addition to their pensions in respect of professional or other special qualifications, this should be stated, and a reference should be given to the authority under which the claim is made. Head 5.-If the service has been interrupted by one or more breaks, the word "broken" should be added before or after the number of years and months, and the causes, dates, and circumstances of the break or breaks should be stated under heading 9.

Head 6.-If the person retiring has been in receipt of the same salary, or in the class from which he retires, for the 36 months immediately before the date of his retirement, the actual annual rate of salary or wages at that date should be inserted, preceded by the word "actual." In other cases the average annual amount of salary or wages for the 36 months next preceding the date of retirement should be inserted, preceded by the word " average" but if the whole period of service is less than three years,

then the average for the whole period of service should be inserted.

Head 7.-A separate statement should be inserted of the average annual value, for the 36 months immediately preceding retirement, of each emolument (exclusive of salary or wages) which is claimed to be included in the calculation of the pension or gratuity.

Whenever the value of a house or house allowance, so ascertained, exceeds one-sixth of the salary and other emoluments which count for pension purposes, it is to be reduced to one-sixth of that amount, so that it shall not exceed one-seventh of the whole.

Fees which an officer is allowed to retain for his own use will be taken into account for pension purposes, with regular salary, at the annual average of the net receipts of the 36 months next preceding the officer's retirement. These net receipts are to be ascertained by deducting from the gross amount of fees such office expenses, &c., as an officer may have had to defray from his own resources, in per forming the services for which he was remunerated by fees. No deduction, however, from the fees should be made in respect of office expenses provided from public funds, for the due discharge of those duties to which a fixed salary is annexed. Papers of "particulars" when forwarded to the Colonial Department, should be accompanied by formal declarations from the retiring officers, showing the amount received by them for fees, and the amount defrayed as above for office expenses, &c., in each of the three years immediately preceding the retirement. It will be the duty of the Colonial Governments concerned to satisfy themselves of the accuracy of such statements before forwarding them to the Colonial Office. In the case of officers receiving fixed salaries and fees, the fees will not in ordinary circumstances be allowed to count for pension purposes to the extent of more than one quarter of the salaries; and fees will not in any case be allowed to count for pension purposes during any period in which the whole time of the officer receiving them was not given to the public service. Head 8.-In cases of infirmity, if the applicant is below the ordinary age for retireme it, a medical certificate is to be furnished showing that he is disqualified by infirmity of mind or body for discharge in the duties of his situation, and that such infirmity is likely to be permanent.

In case of ten years' service or more, this certificate should be signed by two Officers, of whom a least one should, if possible, be a salaried Officer of the Government.

Head 9.-As to "broken" service, see Head 5.

If the applicant has had any "acting" service; the details must be fully given, with a statement whether or not, during the "acting" service, he was connected with the permanent Civil Service of the Colony. Head 11.-If, in special circumstances, a professional civil Officer has been allowed to have "private practice" without forfeiting his claim to pension, the facts are to be fully stated.

Head 14.-If the applicant is liable to any deduction from his service under Clause 102 of the Colonial Regulations, the facts should be fully stated.

Head 19-The length of service and other particulars of the computation are to be given. When an average of salary, &c., is taken, the mode of calculating it (whether by months, &c.) is to be explained. N.B.-This Form of Particulars is not at present used in Ceylon and the Straits Settlements, for which Colonies special Forms have been approved.-(See Despatches to Governors of those Colonies, 19th December, 1879.)

AGREEMENT made this
Hundred

in the County of

of the one part, and

and

in the County of Middlesex, Esquires, Crown Agents for the Colonies,

for and on behalf of Her Majesty of the other part.

WHEREAS at a salary of

Now the said

agree with the said

to the Colonial Treasurer of

and

in consideration of the premises, doth hereby that he the said will pay the said advance of in such manner as the Governor of the refuse or

said Colony may see fit to direct, or should he the said neglect to proceed to, or depart this life before reaching the said Colony, or relinquish his Appointment before such advance has been repaid, he the said or his executors

or administrators will refund and repay to the Colonial Secretary of the Government of the said Colony for the time being, or to the Crown Agents for the Colonies in London for the time being, the said sum of or such proportion thereof as may then remain due.. As WITNESS our Hands the Day and Year above written.

months' leave

I HEREBY Certify, that with the advice and consent of the Executive Council of Government, I have granted to of absence.

NOTE-Officers proceeding on leave of absence are requested to observe, that they will not be able to receive Half Salary in England unless this Certificate is duly filled up and signed.

years.

2nd. That A. B. has been in the service of the Colony for 3rd. That in the course of that Service he has been absent on leave on several occasions, at the dates and for the terms specified below, viz.:

1st. For

months beginning on

and ending on

2nd.
3rd.

4. That provision has been made for the due execution of A. B.'s office during his absence by

1. Total Service from date of arrival in the colony to date of certificate.

2. Deduct total Absences since arrival (other than vacation leave) whether with or without Half-salary

3. Period of Resident Service

4. Maximum amount of leave authorized by Regulations in respect of the above period of Resident Service (viz., one-sixth of Resident Service, plus Six Months)

5. Leave on Half-salary already taken

6. Leave now granted

NOTE.-Officers who may be under the necessity of applying to the Secretary of State for an extension of their leave of absence, are requested to annex this document to their applications, and in order to meet this contingency, it will be furnished to them in duplicate.

AGREEMENT made this

Hundred and

in the County of

of

One Thousand Eight

of the one part, and the undersigned, ONE OF THE CROWN AGENTS FOR THE COLONIES, of Downing Street, London, in the County of Middlesex, for and on behalf of Her Majesty of the other part.

hath been duly appointed

WHEREAS Now the said in consideration of the premises doth hereby agree with the said undersigned, ONE OF THE CROWN AGENTS FOR THE COLONIES, that should he the said fail to proceed to , or, within the period of three years from the date of his arrival in the said Colony, either quit the said Colony without leave, or relinquish his appointment, or be dismissed or removed from his appointment in consequence of misconduct, he the said

will refund and repay to the Colonial Secretary of the Government of the said Colony for the time being. or to the Crown Agents for the Colonies, in London, for the time being, the amount paid for his passage to the Colony, and for the passage of any member or members of his family. Provided always, that nothing herein contained shall bind or oblige the said to repay the aforesaid passage money, if, at the time he shall relinquish his said appointment or quit the said Colony as aforesaid, the Colonial Secretary of the Government of the said Colony, or person acting as such, shall certify that he the said

of his duty as such.

Signed by the said

is unable, from bodily or mental infirmity, to continue in the performance WITNESS our Hands the Day and Year above written.

Signature,

in the presence of

Address,

Signed by

(one of the Crown Agents for the Colonies, as aforesaid), in the presence of

WHEREAS We, taking into Our Royal Consideration that there exists no means of adequately rewarding the individual gallant services either of Officers of the lower grades in Our Naval and Military Service, or of Warrant and Petty Officers, Seamen, and Marines in Our Navy, and Non-commissioned Officers and Soldiers in Our Army; and whereas the Third Class of Our Most Honorable Order of the Bath is limited, except in very rare cases, to the higher ranks of both Services, and the granting of medals, both in Our Navy and Army, is only awarded for long service or meritorious conduct, rather than for bravery in action or distinction before an enemy, such cases alone excepted where a general medal is granted for a particular action or campaign, or a clasp added to the medal for some especial engagement, in both of which cases all share equally in the boon, and those who by their valour have particularly signalized themselves remain undistinguished from their comrades: Now, for the purpose of attaining an end so desirable as that of rewarding individual instances of merit and valour, We have instituted and created and by these Presents, for Us, Our Heirs and Successors, institute and create a New Naval and Military Decoration, which we are desirous should be highly prized and eagerly sought

after by the Officers and Men of Our Naval and Military Services, and are graciously pleased to made ordain, and establish the following rules and ordinances for the government of the same, which shall from henceforth be inviolably observed and kept :

Firstly. It is ordained, that the distinction shall be styled and designated "the Victoria Cross," and shall consist of a Maltese Cross of Bronze, with Our Royal Crest in the centre, and underneath which an escroll, bearing this inscription, "For Valour."

Secondly. It is ordained, that the Cross shall be suspended from the left breast, by a blue riband for the Navy, and by a red riband for the Army.

Thirdly. It is ordained, that the names of those upon whom We may be pleased to confer the Decoration shall be publisbed in the "London Gazette," and a registry thereof kept in the office of Our Secretary of State for War.

Fourthly. It is ordained, that any one who, after having received the Cross, shall again perform an act of bravery, which, if he had not received such Cross, would have entitled him to it, such further act shall be recorded by a Bar attached to the riband by which the Cross is suspended, and for every additional act of bravery an additional Bar may be added.

Fifthly. It is ordained, that the Cross shall only be awarded to those Officers or men who have served Us in the presence of the enemy, and shall have then performed some signal act of valour or devotion to their country.

Sixthly. It is ordained, with a view to place all persons on a perfectly equal footing in relation to eligibility for the Decoration, that neither rank, nor long service, nor wounds, nor any other circumstance or condition whatsoever, save the merit of conspicuous bravery, shall be held to establish a sufficient claim to the honour.

Seventhly. It is ordained, that the Decoration may be conferred on the spot where the act to be rewarded by the grant of such Decoration has been performed, under the following circumstances:I. When the Fleet or Army in which such act has been performed is under the eye and command of an Admiral or General Officer commanding the Forces.

II. Where the Naval or Military force is under the eye and command of an Admiral or Commodore commanding a squadron or detached naval force, or of a General commanding a corps, or division, or brigade on a distinct and detached service, when such Admiral, Commodore, or General Officer shall have the power of conferring the Decoration on the spot, subject to confirmation by us.

Eighthly. It is ordained, where such act shall not have been performed in sight of a Commanding Officer as aforesaid, then the claimant for the honour shall prove the act to the satisfaction of the Captain or Officer commanding his ship, or to the Officer commanding the regiment to which the claimant belongs, and such Captain or such Commanding Officer shall report the same through the usual chaunel to the Admiral or Commodore commanding the force employed on the service, or to the Officer commanding the forces in the field, who shall call for such description and attestation of the act as he may think requisite, and on approval shall recommend the grant of the Decoration.

Ninthly. It is ordained, that every person selected for the Cross, under rule seven, shall be publicly decorated before the Naval or Military force or body to which he belongs, and with which the act of bravery for which he is to be rewarded shall have been performed, and his name shall be recorded in a General Order, together with the cause of his especial distinction.

Tenthly. It is ordained, that every person selected under rule eight shall receive his Decoration as soon as possible, and his name shall likewise appear in a General Order as above required, such General Order to be issued by the Naval or Military Commander of the Forces employed on the

service.

Eleventhly. It is ordained, that the General Orders above referred to shall from time to time be transmitted to Our Secretary of State for War, to be laid before Us, and shall be by him registered.

Twelfthly. It is ordained, that as cases may arise not falling within the rules above specified, or in which a claim, though well founded, may not have been established on the spot, We will, on the joint submission of Our Secretary of State for War and of Our Commander-in-Chief of Our Army, or on that of Our Lord High Admiral or Lords Commissioners of the Admiralty in the case of the Navy, coufer the Decoration, but never without conclusive proof of the performance of the act of bravery for which the claim is made.

Thirteenthly. It is ordained, that in the event of a gallant and daring act having been performed by a squadron, ship's company, a detached body of Seamen and Marines, not under fifty in number, or by a brigade, regiment, troop, or company, in which the Admiral, General, or other Officer commanding such forces, may deem that all are equally brave and distinguished, and that no special selection can be made by them: then in such case the Admiral, General, or other Officer commanding, may direct, that for any such body of Seamen or Marines, or for every troop or company of Soldiers, one Officer shall be selected by the Officers engaged for the Decoration; and in like manner one Petty Officer or Non-commissioned Officer shall be selected by the Petty Officers and Non-commissioned Officers engaged; and two Seamen or Private Soldiers or Marines shall be selected by the Seamen, or Private Soldiers, or Marines, engaged respectively, for the Decoration; and the names of those selected shall be transmitted by the Senior Officer in command of the Naval force, brigade, regiment, troop, or company, to the Admiral or General Officer commanding, who shall in due manner confer the Decoration as if the acts were done under his own eye.

Fourteenthly. It is ordained, that every Warrant Officer, Petty Officer, Seaman, or Marine, or Noncommissioned Officer or Soldier, who shall have received the Cross, shall, from the date of the act by which the Decoration has been gained, be entitled to a Special Pension of Ten Pounds a year, and each additional Bar conferred under rule four on such Warrant or Petty Officers, or Non-commissioned Officers or Men, shall carry with it an Additional Pension of Five Pounds per annum.

Fifteenthly In order to make such additional provision as shall effectually preserve pure this most honourable distinction it is ordained, that if any person on whom such distinction shall be conferred be convicted of treason, cowardice, felony, or of any infamous crime, or if he be accused of any such offence, and doth not after a reasonable time surrender himself to be tried for the same, his name shall