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ROYAL AIR FORCE.
933
Half Pay— Scale B.
Note. — The declaration and receipt below should be completed by the Officer and signed by him
In the presence of the attestor on or after (and In no circumstances before) the last day of the period
for which payment Is being claimed (whether Sunday or weekday). The Voucher should then be
passed through a Bank for presentation at the Office of H.M. Paymaster General, Whitehall, 8.W.1,
where It must be left for one day for examination.
Half Pay can neither be sold nor transferred, not can it be assigned as security for debt or otherwise
and the Paymaster General accepts no responsibility for any advance of money made against this
Voucher In anticipation of its acceptance and payment at the Paymaster General's Office.
Slight manuscript alterations in either declaration or receipt will be accepted, if Initialled in the
declaration by the person attesting, In the receipt by thj payee.
Half Pay, payment of which is not claimed within a period of twelve calendar months from the
date on which It might have been claimed, is liable to be forfeited, except In such special circumstances
as may be approved by the Air Council.
Establishment No.
DECLARATION.
(Any person wilfully making a false declaration Is liable to prosaeutien.)
I
(Christian Names and Surname In full )
do solemnly and sincerely declare that I am entitled to Half Pay at the Kate of
per annum, as a )n the Royal Air Force, for the period
(Bank.)
from to 19
I further declare that i —
I have not held, during any part of the above-mentioned period, any place or employment 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
which has been
sanctioned in writing by the Air Council, and from the salary or emnluments of which an abatement
of £ has been made.
ATTE8TATI0N.
The person attesting Is to sign here, stating
the qualification which entitles him to act as
Attestor and giving his Official Address or
Place of Business (see back of Form).
I CERTIFY that the above Declaration was
tills day signed in my presence by the Declar-
ant, whom I believe to be the Grantee named
therein.
Dated this day of 19
(See Note at top of Form.)
at
Signature
Address
Qualification
(See back of Form.)
Year of Officer's birth,
Signature of Declarant : —
Place of resldenoe for the time being : —
Permanent address, If different from above i —
RECEIPT.
RECEIVED of H.M. Paymaster General, this
the Sum of
being the amount of Half Pay due for the P i
already received.
day of 19...
Pounds
tated in the above declaration, less the amount
Gross
Tax
Net
Signature
( Receipt stamp not required.

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