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P.B.C. Form 32.] Series , DEPARTMENT. no. / SERVICE SCHEDULE. (Surname.) . (Christian Name.) • (1.) NAME IN FULL: ,„,«,, „.. ~ 18.) EXAMINATIONS PASSED. DATE. REFERENCE. (2.) Date of birth : (3.) Date of marriage: 1 (4.) Date of first appointment: .. - (On probation.) (5.) Date appointment confirmed: (6.) Temporary service: From to : (7.) Superannuation Service: From [Give reference-number in "Remarks" column for all entries for which the authority is not given in the papers below.] (9.) (1O.) (11.) (12.) (13.) (14.) (15.) C L AS S , F ,CAT.O N . DATE. DESIGNATION. PLACE. . SALARY. REMARKS. o ,v,- »"« •«■- B r D i i I ■

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