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ABSOLUTE RELEASE, WAIVER AND QUITCLAIM

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.

Affiant

SIGNED IN THE PRESENCE OF:

______________________________ ____________________________

1
ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)


_____________________________) SS.

BEFORE ME, a Notary Public, in and for _______________, Philippines, personally


appeared, ___________________ with ____________ issued at ___________________ on
_____________, known to me and by me known to be the same person who executed the
foregoing instrument and acknowledged to me that the same is his/her own free and voluntary
act and deed.

IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my notarial


seal on this _______________ at ___________________, Philippines.

Doc. No. ___________;


Page No. ___________;
Book No. ___________;
Series 2019.

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