RELEASE WAIVER AND QUITCLAIM

KNOW ALL MEN BY THESE PRESENTS:

That I,__________________,Filipino,oflegalage,aresidentof__________________,and
formerly employed with __________________, do by these presents acknowledge receipt of the
sum of __________________, Philippine Currency, from _____________________ in full payment
and final settlement of the (financial assistance or separation pay, overtime pay, salary or
salaries, wage or wages, commutable sick and vacation leaves, gratutities or any kind of
compensation or emoluments) due tomeorwhichmaybeduetomefrom____________________
under the law or under any existing agreementwithrespectthereto,aswellasanyandallclaims
of whatever kind andnaturewhichIhaveormayhaveagainst________________,arisingfrommy
employment with (and the termination of my employment with ______________________.

In consideration of said payment, I do hereby quitclaim, release, dischargeandwaiveany

and all actions of whatever nature, expected, real or apparent, which I may have against
_______________, its directors, officers, employees, agents and clients by reason of or arising
from my employment with the company. I will institute no action, whether civil, criminal,labor
or administrative against _________________, its directors, officers, employees, agents and
clients. Any and allactionswhichImayhavecommencedeithersolelyinmynameorjointlywith
others before any office, board, bureau, court, or tribunal against _________________, its
directors, officers, employees, agents and clients are hereby deemed and considered voluntary
withdrawn by me and I will no longer testify or continue to prosecute said action(s).

I declare that I have read this document and have fully understooditscontents. Ifurther
declare that I voluntarily and willingly executed this Release, Waiver and Quitclaim with full
knowledge of my rights under the law.

IN WITNESS WHEREOF, I have hereunto set my hand at _____________, this ___ day of
_______________, 2017.

_______________________
Affiant

SIGNED IN THE PRESENCE OF

_______________________ ______________________