RELEASE WAIVER AND QUITCLAIM

KNOW ALL MEN BY THESE PRESENTS:

That I/We, _____________________________________, Filipino, of legal age, a resident

of ___________________________________________, do by these presents acknowledge receipt
of the sum of ______________________________________, Philippine Currency, from
_____________________________________ in full payment and final settlement of the (financial
assistance 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 incident
_______________________________________________________________.

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 faculty and staff. I will institute no action,
whether civil, criminal, labor or administrative against
________________________________________, its faculty and staff. 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and clients are hereby deemed and considered voluntary withdrawn by me and I will no longer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
_______________, 2019.

_______________________
Affiant

SIGNED IN THE PRESENCE OF

_______________________ ______________________