REPUBLIC OF THE PHILIPPINES )
_______________________________, _______________________________ ) S.S.

AFFIDAVIT OF RELEASE, WAIVER, AND QUITCLAIM

I, ________, of legal age, with the following nationality: Filipino, single, presently residing at: ________, after having been duly sworn to in accordance with law, do hereby depose and state that:

1. I was employed in the following position: ________, by: ________, with business address at: ________;

2. I have voluntarily tendered my resignation effective on ________;

3. The Final Settlement includes all the remaining salaries and benefits that are due me, as follows:

________ - ________ (₱________)

4. I am to receive the sum of ________ (₱________) (the "Final Settlement") from: ________, as final and full settlement of my remaining salary and other contractual and legal benefits;

5. I hereby acknowledge receipt of the sum of ________ (₱________) from: ________, in full, representing a final, full, and complete satisfaction and settlement of all of my remaining salaries, benefits, claims, and the like arising out of or in connection to my employment with: ________;

6. I hereby further acknowledge that I have been paid all my salaries and contractual and legal benefits and the like during my employment with: ________, until the termination of my employment due to my voluntary resignation from: ________;

7. I have no further claims against: ________, and its directors, officers, employees, agents, representatives, and successors-in-interest;

8. I hereby quitclaim, release, waive, and discharge forever and unconditionally, ________, and/or its directors, officers, employees, agents, representatives, and successors-in-interest from any and all causes of actions, sums of money, claims, damages, demands, and any further liability whatsoever in law, contract, and equity, past, present or contingent, which I had, have, or may have against: ________, and/or its officers, employees, agents, representatives, and successors-in-interest in connection to or arising out of my employment with: ________;

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10. I have read and fully understood this Affidavit of Release, Waiver, and Quitclaim which is given and made freely, willingly, voluntarily, and with full knowledge of rights under the law without any threat, violence, duress, intimidation, or undue influence exerted upon my person.

AFFIANT FURTHER SAYETH NAUGHT.

________
Affiant

Signed in the presence of:

________

________

SUBSCRIBED AND SWORN TO BEFORE ME this _________ day of ______________________, 20______ at the City/Municipality of _______________________________ Province of _______________________________, affiant, ________, personally appeared before me and exhibited to me the following competent proof of identity: _______________________________________________________________.

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WITNESS MY HAND AND SEAL on the date and place above written.

Doc. No.: _________;
Page No.: _________;
Book No.: _________;
Series of _________.