Air Force lists > Monthly Air Force lists > 1922 > July

3060
Air Ministry. RETIRED PAY. Royal Air Force.
Establishment No.
No. of Voucher
‘Christian Names are to be inserted in full. The Declaration must not be executed before the 31st
March, 30th June, 30th September, or 31st December (whether Sunday or Week-day).
I,* a in the Koval Air Force, do solemnly and sincerely declare that I
am entitled to Retired Pay at the rate of per for the Quarter ended the last day cf
192 , and that during that period I have not held any Place or Employ¬
ment of Profit, Civil or Military, in any Department of His Majesty’s Service, nor in the Colonies or
Possessions of His Majesty beyond the Seas, nor under any other Government, except (a)
from which an abatement of £ has been made.
Signed in my presence by the declarant
(whom*! believe to be the grantee named in
the Declaration)
this day of 192
at
The Person attesting is to sign')
here, stating the qualification which
entitles him to act as Attestor, and :■
giving his Official Address or Place i
of Business (see Back of Form). j
Year of Officer’s birth, 18
Signature of declarant:—
Place of residence for the time being :—
The permanent Address, if different from
the above, should also be given.
(a) Describe the Employment, the date of its commencement, and the Annual Salary and Emolu¬
ments thereof. If an abatement is made from the Salary and Emoluments, the amount per annum
or the percentage is to be stated.
Received of H.M. Paymaster-General, this day of 192 , (here insert the
Net sum in words), the sum of Pounds being the Amount of Retired Pay
due to me for the period stated in the above Declaration, less the advance already received (-f).
Full £ v
Tax ... .... £ /
Net ... £ (Here insert the net sum in figures.)
Exd. Signature
(t) The words in italics may be lined out when no advance has been received.
Slight manuscript alterations, in either the Declaration or Receipt, will be accepted, if initialled—in
the Declaration by the Person attesting, in the Receipt by the Payee.
This amount may be claimed through any bank in the country or abroad, but the Form must be
presented for payment by a London Banker at the Office of H.M. Paymaster-General, Whitehall, S.W.l.
It must be left by the Banker one day for examination.
NOTICE.—Before proceeding abroad, Officers in receipt of Retired Pay or Pension must obtain
the permission of the Air Ministry.
Under the Act 28 and 29 Viet., c. 73, Reserved and Retired Pay can neither be sold nor transferred,
nor can it be assigned as a Security for debt or otherwise.