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(Waiver Release and Quitclaim)

Republic of the Philippines)

Province of ____________________) S.S.
City/Municipality of _____________)


I, _____________, Filipino, of legal age, (single / married / widow), and a
resident of _____________, Philippines, after being sworn to in
accordance with law, depose and state:
1. That by these presents, I hereby state that I have voluntarily resigned as
__Position Held__ of __Employer__;

2. That I hereby acknowledge to have received from my employer the sum

of __________________________ (P_____________) which is in full and
final satisfaction of my salary and other benefits that may be due me for the
service which I have rendered for the latter employer;

3. That I hereby declare that I have no further claims whatsoever against

my employer, its President, members of the Board, officers or any of its staff
and that I hereby release and forever discharge all of them from any and all
claims, demands, cause of action of whatever nature arising out of my
employment with the latter;

4. I further agree that this WAIVER, RELEASE AND QUITCLAIM may be

pleaded in bar to any suit or proceeding (Civil, SSS, PhilHealth, Medicare,
Labor, etc.) to which either I, or my heirs and assigns, may have against my
employer in connection with my employment with the latter and that the
payment which I have received as provided herein should not in any way be
construed as an admission of liability on the part of my employer and is
voluntarily accepted by me and will, if need be, serve as full and final
settlement of any amount(s) due me or any claims or cause of action, either
past, present, future, which I may have in connection with my
employment with my employer;
5.As such, I finally make manifest that I have no further claim(s) or cause of
action against my employer nor against any person(s) connected with the
administration and operation of the latter and forever release the latter from
any and all liability.
IN WITNESS WHEREOF, I have hereunto set my hand this _____________
at _____________, Philippines.




That I, __________________, Filipino, of legal age, a resident of __________________,

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 to me or which may be due to me from ____________________
under the law or under any existing agreement with respect thereto, as well as any and all claims
of whatever kind and nature which I have or may have against ________________, arising from my
employment with (and the termination of my employment with ______________________.

In consideration of said payment, I do hereby quitclaim, release, discharge and waive any
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 all actions which I may have commenced either solely in my name or jointly with
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 understood its contents. I further
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
_______________, 2000.




_______________________ ______________________