| I, ........................................ do hereby declare that I am willing to accept the situation of ........................................ in the Service and will, on my appointment hold myself liable to conform to the rules, regulations and standing orders which are now, or may hereafter be, established in the Service and that in the event of my quitting the Service without giving a month's previous notice in writing or in the event of my so misconducting myself as to occasion my dismissal or non-confirmation in office, I will hold myself liable to the forfeiture of pay not exceeding $10; and I hereby consent that in the event of any fines for misconduct or neglect of duty being inflicted on me, the amount shall be deducted from my salary at the time of payment thereof. |