Release Waiver and Quitclaim: Security Services Inc

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RELEASE WAIVER AND QUITCLAIM

TO WHOM IT MAY CONCERN:

I, _________________________________________, of legal age and with residential address


at______________________________________________________________ having been sworn
to in accordance with the law hereby manifest and state that:

1. I hereby declare and acknowledge that I have been fully and properly paid by M&S
SECURITY SERVICES INC. the amount of
________________________________________________ as and in the form of my last
claims and benefits;

2. For and in consideration of the above, I hereby remise, release and forever discharge M&S
SECURITY SERVICES INC. and / or any of its affiliated companies, its owners, directors,
stockholders, officers, successors and assigns from any and all manner of action, cause of
action, sum of money, damages, claims and demands whatsoever in law and equity which I
may have against M&S SECURITY SERVICES INC. and / or any of its affiliated companies,
its owners, directors, stockholders, officers, successors and assigns arising from or in
connection with all incidents of the aforementioned case and my employment thereto, it
being my intention that they be absolutely, completely and finally absolved and released from
any and all liabilities, either civil, criminal or administrative, in connection with said case.

3. Finally, I certify that I have read this document and fully understood every word of it, that the
same has been translated to me, and that the release waiver and quitclaim hereby given are
made voluntarily and willingly by me with full knowledge and understanding of my rights
under existing laws.

IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of __________________
20______.

_________________________
AFFIANT
Signature over Printed Name

SUBSCRIBED AND SWORN to before me this _______ day of ________________ 20_____.


Affiant exhibited to me this CTC / Security License No.: ______________________________ issued
at ________________________ on __________________.

NOTARY PUBLIC

Doc. No. _________;


Page No. _________;
Book No. ________;
Series of _________;

Unit 1, 3rd Floor, Chrisayson Building, Socorro District 3, Quezon City 1109 Philippines
Contact Nos. +632 8523 1054 / +632 8521 5402 / +632 8353 2963

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