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REPUBLIC OF THE PHILIPPINES )

____________________________ ) S.S.

AFFIDAVIT OF QUITCLAIM AND RELEASE

I, __________________, of legal age, single, and a resident of


________________________________________________, having been duly sworn to according
to law, do hereby deposes and says.

1. That I voluntarily resigned as _______________________ at


____________________________ effective ____________________________;

2. That I hereby acknowledged the receipt of sum of money in full equivalent to


______________________________________ PESOS (P______________), ONLY, PHILIPPINE
CURRENCY, as a consideration for ___________________________:

3. That I hereby further state that all throughout my _____________________ with the said
corporation, I have received all __________________________________ and other benefits which
are due to me under __________________________________;

4. That for an in consideration of all foregoing, I do hereby, for myself, my heirs, executors
and administrators, relieve and release and forever discharge _____________________, or any
of its directors, officers, managers or representatives, or successors, from any and all claims and
liabilities whatsoever, whether for money or otherwise, arising out of or in the course of my
________________________ with the said company;

5. That I expresses my gratitude to _________________ for the opportunity given to me and


to reassure that any confidential and/or proprietary information gained by virtue of my employment
shall not be disclosed nor shared to anybody by whatever means or method and I shall not compete,
directly or directly in the same nature or industry whether as employee, partner, employer, or investor;
and

6. That I fully read and understand the contents of this Affidavit of Quitclaim and Release and
that it is executed according to my own will and volition, and without force, violence, intimidation,
threat, or any circumstance that would vitiate my consent.

IN WITNESS WHEREOF, I have hereunto set my hand this _________________, at


______________________, Philippines.

____________________________________
Affiant

Signed in the Presence Of:

____________________________ ____________________________
(Signature over Printed Name of Witness 1) (Signature over Printed Name of Witness 2)

SUBSCRIBED AND SWORN to before me, a Notary Public for the _____________,
this _________________ at _________________, Philippines by affiant who exhibited to me
her _______________________, issued on __________________, at _______________
as his competent evidence of identity.

WITNESS MY HAND AND SEAL on the date and place first above written.

Doc. No.: ___;


Page No.: ___;
Book No.: ___;
Series of 2018.

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