RELEASE and QUITCLAIM , Fipino, of legal age, 2 resident of acknowledge receipt of the sum of PESOS Philippine Currency, from the Philippine Amusement and Gaming ° Corporation in full settement of (Please Check Applicable) Regular! Expanded Abuloy Benefit Last Salary and 5% Hold Out Separation/Retirement Benefits buloy Benefit of Deceased Employee Others, please specity: In cofisideration of the foregoing, | and my heirs, successors, and assigns hereby release, waive, and hold harmless PAGCOR, its directors, officers, employees, agents, and clients from any action, liablliy, and obligation of whatever nature by reason of or arising from the above salaries, remunerations, benefits, elc. as the case may be. | declare that | read this document and that it was explained to me in a language t understand, thus I fully comprehend its contents and effects. | further declare that | voluntarily executed the same with full knowledge of my rights under the law. IN WITNESS WHEREOF, | have hereunto set my hand at , this day rg 20__. Employee! Benehiciary WITNESSES: ACKNOWLEDGEMENT Republic of the Philippines) ss. Before me, a Notary Public in the Municipality/City Province of Philippines, this__day of . 20__, personally appeared atho made himself know to me, by presenting valid Government identification papers, to be the same person who executed this Release and Quitclaim and acknowledged to me that he/she executed the same as his/her Iree and voluntary act and deed, WITNESS MY HAND AND NOTARIAL SEAL on the date and place above written. Doc. No. Page No, Book No. Series of 20,