QUITCLAIM

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RELEASE, WAIVER, AND QUIT CLAIM

KNOW ALL MEN BY THESE PRESENTS;

That I, ________________of legal age, a resident


of_________________________________, and was employed as
Document Regulator in__________________________, do by these
presents, acknowledge receipt of the sum of, (INSERT AMOUNT)
Philippine Currency, in full payment of my final pay and 13 th month
pay, due to me or which may be due to me 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 arising from my
employment with ___________________.

In consideration of the said payment, I do hereby quit claim,


release, discharge, and waive any, and all actions of whatever
nature, expected, real and apparent, which I may have
against____________________________________, its owners, 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 owners, directors, officers, employees,
agents, and clients.

I declare that I have read this document; it has been explained


to me in Bicol and Tagalog dialect; and I 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 this


________________________ of September 2022.

Affiant

SIGNED IN THE PRESENCE OF:

_____________________________
_______________________________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)


PROVINCE/CITY OF (PLACE OF NOTARIZATION) ) S.S.

BEFORE ME, A NOTARY PUBLIC, for and in


_____________________, on ________________ personally
appeared_____________________________, who has satisfactorily
proven to me his identity by presenting to me his I.D.
____________________________________________, which is an
identification document duly issued by a government agency which
bear the signature and photograph of the party, and being informed
by me of the contents of the foregoing instrument, acknowledged
before me that he executed the same on his own free will and deed.
WITNESS MY HAND AND SEAL on the date and place first
above written.

Doc. No. ........;


Page No. .......;
Book No. .......;
Series of 2022.

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