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934
ROYAL AIR FORCE.
Retired Pay.
Note. — Thla document is Government property. 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, S.W.I, where it must be left for one day for examination.
Retired Pay can neither be sold nor transferred, nor 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 the declaration or receipt will be accepted, if initialled in
the declaration by the person attesting, in the receipt by the Payee.
An officer in receipt of Retired Pay or Pension proposing to proceed abroad should notify to the
Air Ministry his address and the probable duration of his stay abroad.
Officers should Inform the Air Ministry immediately of the fact of their having sought or obtained
a foreign nationality.
Retired 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 Counoil.
Establishment No.
DECLARATION.
(Any parson wilfully making a false declaration Is liable to prosecution.)
(Christian Names and Surname in full.)
do solemnly and sincerely declare that I am entitled to Retired Pay at the Rate of £
per as a - In the Royal Air Force.
(Rank.)
I further declare that i —
(1) I have NOT during the year ended the last day of the period claimed for below held
any Place or Employment of Profit, Civil or Military, in any Department of His Majesty's Service,
nor in the Dominions, Colonies or Possessions of His Majesty beyond the Seas, nor under any other
Government, except
(Describe the employment, and give the date oftts commencement, with the annual salary and emoluments
or write NIL.)
(2) I am NOT In receipt of any Pension from Government Funds other than the above, except
(Give particulars o) any other pension or write NIL.)
ATTESTATION.
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
this 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 residence for the time being i-
Fermanent address, if different from above i —
RECEIPT.
RECEIVED of H.M.-Paymaster General, this
being the amount of Retired Pay due for
Gross ... £
Tax ... £
the
6
•8
MONTH ended the last day of
QUARTER
Net ... £ t
Bid - ■ — —
(Receipt stamp not required.}
(47720)
M

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