AFFIDAVIT OF WAIVER AND QUITCLAIM

I, _________________, Filipino, of legal age, single/married and a resident

of __________________________________________________, after having been sworn in
accordance with law, hereby depose and state that:

1. I was an employee of _____________________ with business address

at ______________________.

I have filed my voluntary resignation with the Company effective on _______________.

2. Upon proper computation by the Company’s Finance Department, I am to receive the

amount of ___________________________________ (P ____________) as
final and full settlement of all such salaries and employment benefits in accordance with
the pertinent employment contract provisions and labor laws.

3. hereby acknowledge receipt of the sum of

__________________________ (Php _________), Philippine currency, representing full s
atisfaction of all my remaining salaries and employment benefits and as a further
manifestation of the Company’s goodwill towards me and for my benefit.

4. Furthermore, I voluntarily and freely acknowledge that I have no claims or right of action,
whether past, present, future or contingent, of whatever nature against the Company and
any affiliated companies, its officers, that may arise relative to my employment with the
company, acknowledging further that I had been duly paid all my salaries, emoluments,
legal benefits and the like during the existence of my employer-employee relationship with
the company and the termination of such relationship in view of my voluntary resignation
from the company.

5. hereby also voluntarily, freely and unconditionally waive any and all suchclaims, if any, and
in executing this waiver and quitclaim, I have fully renounce any claims or right of action
of whatever nature, whether past, present, future or contingent against said corporation
and its officers, relative to my employer-employee relationship with the company and the
termination of such relationship in view of my voluntary retirement from the company.

6. I affirm that I was not forced into resignation and I further affirm and confirm my
resignation from the company effective _______________.

7. I fully understand the statements I have made in this document that has been explained to
me in a dialect/language I understand. I have affixed my
signaturehereunder voluntarily and freely with full and complete knowledge of the
meaning and intent of this document and of my rights under existing laws.

IN WITNESS WHEREOF, I have hereunto set my hands this ___ day of _________
______ at ______________.
 NAME OF EMPLOYEE

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES )

___________________________ ) S.S.

BEFORE ME, a Notary Public, in and for ____________ this _________________,

personally appeared ______________, exhibiting to me his/her
___________________________, issued on ____________________ at _____________,
personally known to me to be the same person who executed the foregoing document and
acknowledged to me that the same is his/her 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 _____