(REPUBLIC OF THE PHILIPPINES

CITY OF PARAÑAQUE)

SPECIAL RELEASE OF CLAIM

AND/OR QUIT CLAIM

KNOW ALL MEN BY THESE PRESENTS:

That for and i consideration of the sum of THREE THOUSAND ONE HUNDRED SEVENTEEN AND
THIRTY CENTS ONLY (PHP 3117.3 ) DARREN CRUZATA of legal age Filipino, with residence
address ZONE 1 SAN JOSE IRIGA CITY CAMARINES SUR and quit claim MTR JANITORIAL
SERVICES with address at 2A Kabihasnan St., San Dionisio, Parañaque City, including its corporate
officers and staff, as I have hereby forever released, discharged and quit claimed the latter, of and
from any and all claims, demands, and/or rights or causes of action whatsoever that may now or
hereafter develop as a consequence of my past services with the said company.

I hereby declare and certify that such payment consists completely of my separation
pay/special financial assistance on account of past services, and such other benefits and entitlements
under the law and/or unilateral practice, including but not limited to salary, overtime pay, holiday pay,
rest day pay, proportionate 13th month pay, and cash bond, etc., said amount being gratuitously,
liberally, and generously given by the company as an act not only founded in law, but also on
humanitarian considerations.

I further agree that this Special Release of Claim and/or Quitclaim shall constitute as an
absolute bar to any suit or proceeding which I, or anyone in my behalf, may take or shall have taken
in connection with my past services with the said company; it is being understood that the essence
and nature of this Special Release of Claim and/or Quitclaim is to totally and absolutely render the
company, its owners and corporate officers, clean, free, and blameless from whatever cause/s of
action or any kind of obligation that may arise in my favour.

I finally manifest and declare that the terms of this Special Release of Claim and/or Quitclaim
have been read, explained in a language known to me and thoroughly understood by me, and I
signed this document freely voluntarily, with full awareness and realization of its consequences under
the law.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 18 TH

day of JUNE 2018
here at Paranaque City, Philippines.

________________________.
Printed Name & Signature

SIGNED IN THE PRESENCE OF:

__AVE LUZ REGACHUELO_____.

_______________________.

SUBSCRIBED AND SWORN TO BEFORE ME THIS _____ OF _____, 2018, affiant exhibited to me his
Community Tax Receipt No./ Driver’s License No ____________________ issued at
__________________________________
13MONTH
MAY 15, 2017 TO OCT 31, 2017