I, _____________________, of legal age, Filipino, and a resident of
________________________________, after having been duly sworn in accordance with law hereby depose and state: 1. I am an employee of _____________________ with office address at _____________________ since _____________ and has rendered a total length of service of ___________________; 2. I have already reached the age of sixty years old and is thus qualified for the Optional Retirement Program of the company; 3. In consideration thereof and for reasons I deem beneficial to me, I hereby wish to forego my employment in my present company; 4. For valuable consideration received, I am executing this deed to waive any and whatever claim I may have present or contingent against the company and release the company from any liability arising from my employment therein; 5. I hereby acknowledge this deed to be my free and voluntary act.
IN WITNESS WHEREOF, I have hereunto affixed my signature this
_____ day of _______ 2019.
SUBSCRIBED AND SWORN to before me, a Notary Public for
_________ this ____ day of _______________ 2019. Mr./Mrs. _____________ having exhibited to me his/her ___________________ issued at _________________ valid until _______________________ known to me and to me known to be the same person who executed this Waiver, Release and Quitclaim and that the same is his/her free and voluntary act.
WITNESS MY HAND AND SEAL this _____ day of ____________