Republic of the Philippines)

City of Manila ) S.S.

x--------------x

WAIVER, RELEASE AND QUITCLAIM

I, MIA DENIEGA, Filipino, of legal age, single, and a resident of

_____________, Philippines, after being sworn to in accordance with law,
depose and state:

1. That by these presents, I hereby state that I have voluntarily resigned as

an employee of Erin’s Water Station and Laundry ;

2. That I hereby acknowledge to have received from my employer the sum

of SEVENTEEN THOUSAND FOUR HUNDRED PESOS (P17,400.00) which is in
full and final satisfaction of my salary and other benefits that may be due me
for the service which I have rendered for the latter employer less the
amount I have owed from my employer;

3. That I hereby declare that I have no further claims whatsoever against

my employer, and that I hereby release and forever discharge all of them
from any and all claims, demands, cause of action of whatever nature arising
out of my employment with the latter;
 

4. I further agree that this WAIVER, RELEASE AND QUITCLAIM may be

pleaded in bar to any suit or proceeding (Civil, SSS, PhilHealth, Medicare,
Labor, etc.) to which either I, or my heirs and assigns, may have against my
employer in connection with my employment with the latter and that the
payment which I have received as provided herein should not in any way be
construed as an admission of liability on the part of my employer and is
voluntarily accepted by me and will, if need be, serve as full and
final settlement of any amount(s) due me or any claims or cause of action,
either past, present, future, which I may have in connection with my
employment with my employer;

5. As such, I finally make manifest that I have no further claim(s) or cause

of action against my employer nor against any person(s) connected with the
administration and operation of the latter and forever release the latter from
any and all liability.

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

at _____________, Philippines.

Affiant