Release Waiver and Quitclaim: AME OF Mployee Osition ATE OF

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COMPANY HEADER HERE

RELEASE WAIVER AND QUITCLAIM


( HR FORM NUMBER TO BE SERIALIZED)

NAME OF EMPLOYEE/ POSITION:


DATE OF WAIVER AND QUITCLAIM:

I, ________________, Filipino, of legal age and a resident of


_______________________, hereby acknowledge and confirm my lawful resignation
from __________________________ (hereafter the "Company") effective _________________,
and acknowledge my receipt from the Company of the amount of
________________________ (P/_____) representing which shall constitute a full and
complete settlement of any and all amounts due me by reason of my employment
with and resignation from the Company.

In consideration of such payment -

1. I remise, release and forever discharge the Company and/or its


successors-in-interest, stockholders, officers, directors, agents or employees
from any and all action, sum of money, damages, claims and demands
whatsoever, which in law or in equity I ever had, now have, or which I, my
successors and assigns hereafter may against the Company and/or its
successors-in-interest, stockholders, officers, directors, agents or employees.

2. I completely and absolutely release the Company, as well as its


successors-in-interest, stockholders, officers, directors, agents or employees
from all liabilities arising wholly, partially or directly from my employment
with and separation from the Company.

3. I also manifest that the payment by the Company of any or all of the
foregoing sum of money shall not be taken by me, my heirs or assigns as a
confession and/or admission of liability on the part of the Company, as well as
its successors-in-interest, stockholders, officers, directors, agents or employees
for any matter, cause, demand or claim that I may have against any or all of
them.

4. I acknowledge that I have received all amounts that are now, or in the
future, may be due me from the Company. If hereafter, I am found to be entitled
to any other amount, the above consideration shall constitute a full and final
satisfaction of any and all such undisclosed claims. I also acknowledge that I
have not suffered any illness or injury directly or indirectly caused or
aggravated by my work during my employment with the Company.

5. I further warrant that neither I nor my heirs or assigns will institute any
action, nor will continue to prosecute any pending action, if any, against the
Company as well as its successors-in-interest, stockholders, officers, directors,
agents or employees, by reason of my employment with and separation from
the Company.
COMPANY HEADER HERE

6. I finally declare that I have read and fully understand this document, and
the release, waiver and quitclaim hereby given is made willingly and
voluntarily and with full knowledge of my rights under the law.

IN WITNESS WHEREOF, I have hereunto affixed my signature on


____________(Date of Execution) at _____________ (Place of Execution).

_________(Name of Employee)_______

Affiant

REPUBLIC OF THE PHILIPPINES)


CITY OF __________ ) S.S

SUBSCRIBED AND SWORN to before me on this __________________, affiant


exhibiting to me his Competent Evidence of his identity in the form of
_______________ (Passport/ Driver’s License/ SSS ID No.)_______ issued at_____________
on__________________.

Notary Public

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of ______.

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