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WAIVER, RECEIPT AND QUITCLAIM

KNOW ALL MEN BY THESE PRESENTS: That I, __________________, of legal age, Filipino and a resident of __________________________________, Philippines, hereby depose and state that: 1. I have ceased to _________________. be employed at (the Company) effective

2. In connection with my former employment with the Company, for valuable consideration in the amount of : _________________________ (P_______________) received in full from the Company, I hereby waive, release, remise and render harmless the Company, its officers, directors, representatives, and employees from any action for sums of money or other obligations arising from my previous employment with said Company. I acknowledge that I have received all amounts that are now or in the future may be due me from the Company. I therefore undertake not to do any act prejudicial to the interest of the Company arising from my previous employment. 3. I acknowledge that I have no cause of action whatsoever, criminal, civil or otherwise against the Company, its officers, directors, or representatives with respect to any matter arising from or cessation from my employment with the Company. I further warrant that I will institute no action and will not continue to prosecute pending actions, if any, against the Company, its officers, and representatives. 4. I acknowledge that I have received all amounts that are now or in the future may be due me from the Company. I also acknowledge that I am physically fit for work and therefore am not suffering from any disability. 5. I finally declare that I have read this entire document and the entire waiver, receipt, and quitclaims hereby given are made by me willingly and voluntarily and with full knowledge of my rights under the law.

IN WITNESS WHEREOF, I have hereunto set my hand this ____________, _____________,Philippines.

___________________ Affiant Signed in the presence of: _______________________ __________________________

ACKNOWLEDGMENT REPUBLIC OF THE PHILIPPINES CITY OF _______________...........................) ss. Before me, a Notary Public, for and in the City of __________, Philippines, on ___________ personally appeared ____________________and exhibited to me his _____________________; known to me and to me known to be the same person who executed the foregoing Waiver, Receipt and Quitclaim instrument and he acknowledged to me that the same is his free act and voluntary deed. WITNESS MY HAND AND SEAL on the place and date first above written. Doc No.: _______ Page No.: ______ Book No.: ______ Series of 2010.

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